Laserfiche WebLink
- r <br /> NOTE: PULL ALL PEr HITS (Septic, Well, etc.) MAKE CO _S FOR FILE <br /> .AND USE REPORT RECORD ID: 500005079 <br /> DATE RECEIVED by EHD: May 31,2005 APPL#: PA-0500306 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE: 2631 <br /> SITE APPROVAL-NIINOR(SA) 1 <br /> COMPLETE& SUBMIT BY: Tue, June 21, 2005Z70W pp <br /> � Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 151 W TADDEI RD, ACAMPO APN : 00317010 <br /> n completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> upplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> tensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> �Na e of Purveyor Name of System � <br /> iUMMARY OR COMMENTS �_ �v5 lKa�' ��Y ����`f�" 6�4e� 15;i�'0""" <br /> ate •=y - ' <br /> /�i14" ZL rr"n.1- 2±�a! f7T 'ir/ C�rf-5 n tom. /moo �a2 <br /> I recommend: Approval Denial ContinNuance Inspec r: <br /> i�'�i,� �� <-C��hO/•C7�t�/" S nature <br /> Supervisor/Lead Senior COMMENTS: ..� <br /> 1, �/,p�7 '�• /�X/N�vt-! � �l/ ..!�l�DB9/Ji ,�- <br /> zz, o <br /> e4 <br /> 6. <br /> 0' OF eq6l mpi X' Or <br /> di�i it <br /> I� <br /> L <br /> 1 <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 /> Ll 106 06 Report k7201 June 01,2005 <br />