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J f 1 f } } <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE'C;0�4ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004503 <br /> DATE RECEIVED by EHD: June 09,2004 APPL#: PA-04-304 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, July 6, 2004 Assigned to : EE0001456 HESS <br /> SITE ADDRESS: 360 W BOWMAN RD, FRENCH CAMP APN : 19326022 <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 /> �f Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> All 10 <br /> 1-j AAf <br /> -L,- 01 7fZd XtT a-CY I ND `ssl!�,A alt� •tAl A4tZ�' <br /> I recommend: Appro 1 Denial Continuanceinspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> rP - 03 <br /> SUPERVISOR/LEAD SENIOR Approval: Y Date: l <br /> DA 11 Check Off List: 'Proofread Report? - rgrrect LAND USE#?. <br /> Correct CONDITIONS L"o <br /> { ) gged in.LAND i351J13ook. <br /> EH 06 06 Report#7201 Page I June 21,2004 <br />