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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011804 <br /> DATE RECEIVED by EHD: May 23,2018 APPL#: PA-1800096 <br /> Referral Agency STAFF CONTACT. GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, June 19, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 514 E FRENCH CAMP RD,FRENCH CAMP APN : 17749001 <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: n/o,,t Public Sewer: )Ltsi+.L <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: `rlZ 'I$ a sF • pP✓� tY .S 1 TUtPl / <br /> V 1'L �P rw�i� e)✓� T"��O . <br /> tilts I Ik 51'4A V ,b,•t. <br /> "lrNl <br /> JG>m L �Q�/ �IW�C �l�U✓+ 4� }P <br /> �r`afrit fN ,K 4. SLis� p I <br /> 6LC l� . MaLL� l gl�•CI,r] —5e IZUa/6 -P G,,,,� �PIY+G /"MSS �• <br /> 3cv;r <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> TSL lXyj <br /> SUPERVISOR/ LEAD SENIOR ApproNal: Date: <br /> OA If Check OffList: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? 7 Logged in LAND USE Book? <br /> EH 06 06 Report 47201 May 24,2018 <br />