Laserfiche WebLink
NOTE: PULL ALL MITS (Septic, Well, etc.) MAKE . PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005833 <br /> DATE RECEIVED by EHD: December 20,2005 APPL#: PA-0500845 Pre-Application <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE& SUBMIT BY: Wed, December 28, 2005 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 10275 E UNDERWOOD RD,ACAMPO APN : 00730010 <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 /> o, <br /> I recommend: Approva Denial F-1 Continuance Ins ector: <br /> SignattIre <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 <br /> 0x <br /> A-r <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 21,2005 <br />