Laserfiche WebLink
NOTE: PULL ALL PER11ftTS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP#: SA-01-13 (TE) <br /> EHD RECEIVED APP.REFERRAL: 2/3/04 COMPLETE & SUBMIT BY: 2-20-2004 <br /> DATE DATE <br /> ATTN: <br /> SITE ADDRESS: 11299 WEST LARCH ROAD TRACY <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1/99 <br />