Laserfiche WebLink
le: <br /> NOTE: PULL ALL PERP "S (SEPTIC, WELL, ETC...) T .KE COPIES FOR FILE <br /> LAND USE REPORT ! APP# PP <br /> EHD RECEIVED APP.REFERRAL: lO n COMP�TE & SUBMIT BY <br /> DATE DATE <br /> ATTN• <br /> SITE ADDRESS: �� o — t ' L <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 completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> eD <br /> B. The existing well on 'his parcel may be utilized if further water quality testing is conducted <br /> per California Code of Regulations,Title 22, and the California Health and Safety Code, <br /> Section 116525 through 1570 Applicant (scuele�r) shall make application <br /> to Environmental Health n for a public water system with the appropriate fee as <br /> provided in the California Health and Safety Code,Section 116570 prior to issuance o <br /> building permits. <br /> NOTE: The site is currently undergoing site mitigation activities rrt�t e abandoned undergroun( <br /> storage tanks with oversight by Environmental Health Z `f�" At e;ids <br /> take place-e&464 e. <br /> I <br /> �t*icxic x�c*�c a'e F 71e 7kx7kx. .....:ic,ex .ie Yt Fxicxcxxic icxxic 9e 7'e�t , ......xxxxYexie e 7F 4e a't a'e 9e <br /> Supervisor/Lead Senior Comments: <br /> . O <br /> _few 6XVu-4 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: ` <br /> OA II CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> Ell 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />