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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012067 <br /> DATE RECEIVED by EHD: November 19,2018 APPL#: PA-1700047 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE &SUBMIT BY: Thu, December 20, 2018 <br /> Assigned to : EE0000034 ARMED <br /> SITE ADDRESS: 505 E ARNAUDO BLVD,MOUNTAIN HOUSE APN : 25403001 <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: ,g/ffc,6,D Public Sewer: lah> -51D <br /> Name of Purveyor Name of System <br /> SUM',\\MARYOR COMMENTS: / J <br /> r✓u l�`az J .'y4/f' 'S"'o f� <br /> zz:u� <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA H Check Off List., Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? - <br /> EH 06 06 Report tl7201 November 20,2018 <br />