Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004912 <br /> DATE RECEIVED by EHD: March 15,2005 APPL#: SA-99-97(RA) <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS-STAFF <br /> COMPLETE& SUBMIT BY: Tue, April 5, 2005 REVIEW APPL(SR) <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 4460 S ST RT 99 , STOCKTON APN : 17920032 <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 /> I recommend: Approval ❑ Denial 7 Continuance Inspector: <br /> Signature <br /> !)upervisor/Lead Senior COMMENTS: <br /> ✓✓t0 ` <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? V Correct LAND USE#9 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page I Much 17,2005 <br />