Laserfiche WebLink
NOTE: PULL ALL OIRMITS (Septic, Well, etc.) MAKE 66PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005043 <br /> DATE RECEIVED by EHD: May 13,2005 APPL#: PA-0300484 L is j <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2655 J�J <br /> REVISIONS TO ACTIONS-STAFF <br /> COMPLETE& SUBMIT BY: Tue, June 7, 2005 REVIEW APPL(SR) <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 28644 S TRACY BLVD, TRACY APN : 25312033 <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 /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Proofread Re ort? Correct LAND USE#? <br /> OA 11 Check Off List: P <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 16,2005 <br />