Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011205 <br /> DATE RECEIVED by EHD: January 26,2017 APPL#: PA-1700005 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2638 <br /> SPECIFIC PLAN(SP) <br /> COMPLETE&SUBMIT BY: Tue, February 14, 2077 <br /> Assigned to : EE0004045 TAS[OPOULOS <br /> SITE ADDRESS: MOUNTAIN HOUSE COMM, MOUNTAIN HOUSE APN: <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: �l� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector• — <br /> ,r—- ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> � W !�Z <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 h kOff Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> GH 06 06 Report 97201 January 26,2017 <br />