Laserfiche WebLink
NOTE: POLL ALL PL,.AITS (Septic, Well, etc.) MAKE Cl ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006073 <br /> DATE RECEIVED by EHD: May 30,2006 APPL 4: PA-0600304 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE& SUBMIT BY: Wed, June 14, 2006 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 11681 W MOUNTAIN VIEW RD, TRACY APN : 24203009 <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: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �- <br /> v' <br /> I recommend: Approval 2 Denial Continuance Inspect <br /> / Signature <br /> Supervisor/Lead Senior COMMENTS: 6� <br /> 0( <br /> SUPERVISOR!LEAD SENIOR Approval: Date: O(p <br /> EH 06 06 Report#7201 June 01,2006 <br />