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NOTE: PULL ALL w-tMITS (Septic, Well, etc.) MAKE L—PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006451 <br /> DATE RECEIVED by EHD: February 21,2007 APPL#i: PA-0700050 <br /> Referral Agency STAFF CONTACT: MO HATEF PE: 2690 <br /> ASARE <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: — Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 1630 W BOWMAN RD, FRENCH CAMP APN : 19128016 <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: A11A Public Sewer: r J A <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> cam_ <br /> G <br /> I recommend: Approva!0 Denial Continuance Inspector <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> i4=1f:,hec `ff L a deg E <br /> ........... <br /> 1 <br /> E1106 06 Report#7201 February 21,2007 <br /> I <br />