Laserfiche WebLink
NOTE: PULL ALL'towRMITS (Septic, Well, etc.) MAKE C�$IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005187 <br /> DATE RECEIVED by EHD: July 06,2005 APPL#: PA-0500403 <br /> Referral Agency STAFF CONTACT: KARLA KHUL PE : 2605 <br /> EXCAVATION-QUARRY(QX) <br /> COMPLETE& SUBMIT BY: Wed, July 13, 2005 <br /> Assigned to : EE0004000 VAS DYNE <br /> SITE ADDRESS: 26292 E RIVER RD, ESCALON APN : 24722018 <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 S}stem <br /> SUMMARY OR COMMENTS: n / <br /> Z2 z5� <br /> 1 recommend: Approval Denial El Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> a <br /> 7 : 01 <br /> tea ' d �•- <br /> C 72 ' 03 <br /> D 7� • a y <br /> ERVISOR/ LEAD SENIOR Approval: Date: <br /> Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? - Logged in LAND USE Book? - <br /> 70»01 July 06,2005 <br />