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CNOTE: PULL ALL,.ARMITS (Septic, Well, etc,) MAK66.&SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007988 <br /> DATE RECEIVED by EHD: November 20,2009 APPL#: PA-0900280 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, December 8, 2809 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17641 E FRENCH CAMP RD, ]UPON APN : 20322021 <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 fury or Name of System <br /> SUMMARY OR COMMENTS: 'f Zj�A <br /> J ', C <br /> I recommend: Approval Denial Continuance Inspecto <br /> Signa e <br /> Suneirvisor/Lead Senior COMMENTS: <br /> 0 ? - e <br /> ( 2.7 C? Z t <br /> 29 v <br /> SUPERVISOR 1 LEAD SENIOR Approval: ate: v <br /> OA 1, Check Dffl is# P1r �ead 12epor _. trect L ANIS t�SE i# <br /> ' direct C-0ND1` 0N(S)? -L o d►n I A SE SQnk <br /> __.� <br /> EH 06 06 Report#7201 November 23,2009 <br />