Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00009849 <br /> DATE RECEIVED by EHD: December 12,2013 APPL#: PA-1300210 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE : 2690 <br /> p' '' LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: I.Li <br /> � Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 1150 N SHAW RD, STOCKTON APN : 14327050.53 54 <br /> In completing the Land Use investigation, draw all Public I lealth factors on the exhibit(i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain pahcr, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor 1 / Name of System <br /> SUMMARY OR COMMENT • s /�6 <br /> f <br /> ho .N pr— <br /> —GLo o <br /> I recommend: Approval © Denial Continuance Inspec <br /> Si <br /> Supervisor/Lead Senior COMMENTS, <br /> SUPERVISOR/LEAD SENIOR Approval: v" to-k Hate: I .3 <br /> OA 11 Check List: Proofread Report? — -- Correct I:AND - <br /> Corr�ctCONDITION(S)? ., ;.; inLANDUSE Okli? 'i ,ii <br /> Ill [,uG Hc7n in=��r'! <br /> December 12,2011 <br />