Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
NOTE: PULL ALL a.. &MITS (Septic, Well, etc.) MAKE r.,oPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005622 <br /> DATE RECEIVED by EHD: September 12,2005 APPL#: PA-0500289 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, September 28, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 24155 N HWY 99 W FR RD, ACAMPO APN : 00516011 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> GO <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA It Check Off List: Proofread Report? orrect AND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> September 15,2005 <br />