Laserfiche WebLink
NOTE: PULL ALIa.1RMITS (Septic, Well, etc.) MAKE,..APIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005289 <br /> DATE RECEIVED by EHD: August 10,2005 APPL 4: PA-0500499 <br /> Referral Agency STAFF CONTACT: ANTON S CEDO PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMI e O �� OS <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 13888 E LIBERTY RD, GALT APN : 02102012 & 15 <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: /ho <br /> N"� rX me stem <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval /Denial El Continuance El Inspector: : <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 2a : 03 Xllyl mol Z tn--�„ 94,-t tel/ 4 <br /> SUPERVISOR/ LEAD SENIOR Approval: '` _ Date: • ` ' ' <br /> OA II Check Off List Proofread Report? _S<..",` Correct LAND USE#? . <br /> Correct CONDITION(S)? - Logged in LAND USE Book? <br /> EH 06 06 Report 47201 August 11,2005 <br />