Laserfiche WebLink
NOTE: PULL ALL-01IRMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004783 <br /> DATE RECEIVED by EHD: January 18,2005 APPL#: PA-05-06 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2626 <br /> USE PERMIT-GENERAL(UP)AV w-"I M ri <br /> COMPLETE&SUBMIT BY: Tue, February 4 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 4320 S ST RT 99 E FRONTAGE RD, STOCKTON APN : 17917234 <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 /> VV <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA l/Check OH List Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 2 January 21,2005 <br />