Laserfiche WebLink
r,. 5 <br /> leiT NOTE: PULL ALLRMITS (Septic,.Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT. RECORD-ID: SU0006303 <br /> DATE RECEIVED by EHD: October 10,2006 APPL#: PA-0600520 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 <br /> SUBDIVISON-YiINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, November 7, 2006 <br /> . Assigned to: EE0007379 BOERTIEN <br /> SITE ADDRESS: 5527 S VAN ALLEN RD, STOCKTON APN : 18327011 12 <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: I/ZA Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector; (� <br /> Signature <br /> Sui)ervisor/Lead Senior COMMENTS: <br /> r <br /> k <br /> /A <br />` SUPERVISOR/LEAD SENIOR Approval: Date: <br /> ,4 l,.O ec1r Off:Lsf Pr0ofread:Report7. <br /> v, ectCONF71h[ �._ g e <br /> EH 06 06 Report 117201 October 11,2006 <br />