Laserfiche WebLink
v0v <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012487 <br /> DATE RECEIVED by EHD: August 09,2019 APPL#: PA-1900086 <br /> Referral Agency STAFF CONTACT: GIUSEPPE SANFILIPPO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Thu, September 12, 2019 <br /> Assigned to: EE0007380 SHIN <br /> SITE ADDRESS: 16042 E BAKER RD, LINDEN APN : 09110008 <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: No,,,,` Public Sewer: ,Q,,,e- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ,(,-r�): /2o37•,ft'w daC <br /> i...c <br /> T�� SUoV 17 jle.r� ��' J.�L,/�� `In„"4 41 JD l7 /9 Zai9' �i .lido l23 17. <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> T <br /> SUPERVISOR/LEAD SENIOR Approval: Date: / <br /> k Off List Proofread Report?, Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book?- <br /> EH 06 06 Repot#7201 ALIPSt 09,2019 <br />