Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012654 <br /> DATE RECEIVED by EHD: November 20,2019 APPL#: PA-1900168 <br /> Referral Agency STAFF CONTACT STEPHANIE STOWERS PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, November 22, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 19729 S CARROLTON RD,RIPON APN : 24513061,24538020, <br /> 2453802t,24598036 <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: f P W Public Sewer: N 6 1J t <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 1 q-7 Z•q S. " . <br /> ��+aZtno4V'fA1� 1r1 - - NS A11,�1� �S 1 OO V-sr <br /> C��Q o`oa� `� � ��` �,.�� k'or 1P01as1. <br /> Zit S. (-A P-,ag� fta>> - 1 000. WUA 100 L. he ;AI -C6 AL- AAV PWA <br /> S Lt� v L 5'L� - v.l s-.0 •�- S�-�I Y �d� <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 20,2019 <br />