Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00011321 <br /> DATE RECEIVED by EHD: April 19,2017 APPL#: PA-1700075 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Wed, April 26, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18626 E COPPEROPOLIS RD,LINDEN APN : 18321001 <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/6 /1nC3//� Nr 73 /f'L[/E�2Cf�/S / f�X3'1 �-t1b G9''/'_K Zz7- <br /> /�2crz#z - ¢� i�/r�l ofc�u.. U�FGfz�l s 7 ,n �l<ur�.�zr�irr <br /> CszJ�,tsz5 ��lcH1'Lhs. <br /> ' /�-9?G�7 �� .f 7� ��-Siti/vs✓'7�+] ?le�n�r.� c'�.�i�, r7�`l�i t>�G'.arw�OZ�iil�s <br /> -Itcrvn .® �z�k A /) 1:&LI4l ( F L?-dl i2-6Z D <br /> �O/ rT P atcrlt�� T3�/l�/G c12,2 _B 27- <br /> :vi <br /> 1 recommend: Approval Denial Continuance Inspec <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> /A&T () <br /> 'Oty <br /> 2:D-2— <br /> D : OZ <br /> w�-2 Lt/I✓Lt. ;q* vhf, 7, UAV f- <br /> 02 <br /> —D c <br /> 1 l <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 1 Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 19,2 <br />