Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011531 <br /> DATE RECEIVED by EHD: October 09,2017 APPL#: PA-1700168 Pre-Application <br /> Referral Agency STAFF CONTACT JOHN FUNDERBURG PE : 2635 <br /> IMPROVEMENT PLAN-GENERAL <br /> COMPLETE&SUBMIT BY: Tue, October 3, 2017 (IP) <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 215 E PARCO AVE, MOUNTAIN HOUSE APN : 26220087 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: M r �� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> e Aztt <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A h k ff List: Proofread Report? onect LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 09,2017 <br />