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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE ZOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0003431 <br /> DATE RECEIVED by EHD: April 20,2004 APPL#: MS-98-11 (TIME EXT) <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, May 4, 2004 Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 8855 S ELDORADO ST, FRENCH CAMP APN : 19320005 <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 /> 1 recommend: Approval 0 Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> dr <br /> _ Q <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z <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 Page I April 22,2004 <br />