Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011259 <br /> DATE RECEIVED by EHD: March 03,2017 APPL#: PA-1700012 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2631 <br /> S11'E APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, March 15, 2017 KQVI, 'k <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 19259 E HWY 26 , LINDEN APN : 09127040 <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 /> —Gt/Sr Tit � r�2 = (3J3&J <br /> lf/� J[ �%s7S f3n/�t/ Y Gle/i./yb�Er� L Izrt <br /> /�LG/3Glc to�Z��' Y— ,st� �q /-IscT .f-cd�fi3[i <br /> - ti;� ���� <br /> ZO-ezf <br /> I recommend: Approval Denial Continuance El Inspec r <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> iv I <br /> — US <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A I h ff List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 03,2017 <br />