Laserfiche WebLink
NOTE: PULL ALL _ cRMITS (Septic, Well, etc.) MAK PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0003943 <br /> DATE RECEIVED by EHD: May 10,2004 APPL#: PA-04-226 <br /> Referral Agency STAFF CONTACT: LEANNE MUELLER PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, June 1, 2004 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 0611'5 c. ST RT 26 HWY , LINDEN APN : 09105015 <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 /> • ,C��1212��G�6Gvf5 �"/GC,Is`ft�: �77���-?5/ylc'�.c�`�lzd�If�Cc�7Zr'-¢rc�Y�� <br /> -31G--Gt�L4o C��f ��Z�I�. �r�� G/�ei/•rJECGer// t � l�ezY�-n�C C :c�lll'rJ <br /> C:2, L-Z7�J ,07 (,c Z>PEf1NC-1 -i�iAr '/tSD-mu s <br /> I recommend: Approval c/ Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> . 0 <br /> fad . <br /> Ll <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> f� <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 06 06 Report#7201 Page 5 May 12,2004 <br />