Laserfiche WebLink
NOTE: PULL ALL 'a MITS (Septic, Well, etc.) MAKE <br />LAND USE REPORT <br />DATE RECEIVED by EHD: November 19, 2007 <br />Referral Agency STAFF CONTACT: JASON JONES <br />COMPLETE & SUBMIT BY: Wed, November 28, 2007 <br />SITE ADDRESS: 1525 E JAHANT RD, ACAMPO <br />IES FOR FILE <br />RECORD ID: SUG006844 <br />APPL #: PA -0700523 PRE -APP Pre-Applica <br />PE : 2622 <br />SUBDIVISON - MINOR (MS) <br />Assigned to: FE0005366 MEDINA <br />APN : 00315008 <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 plainn 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 />c <br />I recommend: Approval �--Duvbir F-1ContinuanceInspect 4pro <br />Sign ture <br />Supervisor/Lead Senior COMMENTS: <br />V+ )V-- <br />'a4n'00 - — <br />SUPERVISOR / LEAD SENIOR Approval: Date:! Sf d <br />1,0A,11 Check aif'Lrst Proofread>ReOorxec� Ili 11 <br />Cozrect:WmI$) <br />EH 06 06 Report #7201 November 19, 2007 <br />