Laserfiche WebLink
NOTE: PULL ALL�I ERMITS (Septic, Well, etc.) MAKE- .iPIES FOR F=ILE <br /> LAND USE REPORT RECORD ID: SU0004960 <br /> DATE RECEIVED by EHD: March 29,2005 APPL#: PA-05-169 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: ARA , 44-Akb <br /> 1 Assigned to • F-E0005366 MEDINA <br /> SITE ADDRESS: 20050 E FRAIZER RD, LINDEN APN : 06518002, <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: I-yl-cp <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 1 <br /> Cd�i J <br /> C5 .-O':57 ! �G <br /> I recommend: Approval i Denial Continuance Insp t <br /> S' nature <br /> Supervisor/Lead Senior COMMENTS: <br /> [i1 <br /> 1 <br /> t <br /> 1 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: " C}� <br /> OA Il Cheek Off List_ Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 3 March 30,2005 <br />