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_ NOTE: PULL ALLY.,,_. RMITS (Septic, Well, etc.) MAKE,-,PIES FOR FILE- <br /> LAND <br /> ILELAND USE REPORT RECORD ID: SU0004650 <br /> DATE RECEIVED by EHD: September 28,2004 APPL#: PA-04-535 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, October 19, 2004 <br /> Assigned to : EF-0001456 HESS <br /> SITE ADDRESS: 7733 S ENDOW RD, FRENCH CAMP APN : 19318066 <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 /> 10, <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Q <br /> 4 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> ,,DA-11 Check`o#Lrst r _ ,'Proofread ..... � � - ` x Correct AND LISI (1? <br /> . Correct CONDITId m L"�11 USE <br /> ._ <br /> k EH 06 06 Report#7201 Page 7 September 30,2004 <br />