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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011950 <br /> DATE RECEIVED by EHD: September 06,2018 APPL#: PA-1800157 <br /> Referral Agency STAFF CONTACT! JOHN FUNDERBURG PE : 2608 <br /> MASTER PLAN(MP) <br /> COMPLETE& SUBMIT BY: Sun, September 23, 2018 <br /> Assigned to : EE0000034 ARMED <br /> SITE ADDRESS: 18201 W GRANT LINE RD, MOUNTAIN HOUSE APN : 20945035 <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: � �_�r) Public Sewer: � �� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 4-10 wds or soh rr--- 4z fe <br /> a /1 / <br /> a-.-- $+rys.4 I'^.- i 4 -t rte'3 /'0�,'� l G / �NDN- •✓ 'fL ��rY <br /> !9✓Y%�lj/GY.w► sof/iY dS. <br /> CO�rV'�tw-►--� � G�D <br /> I recommend: Approval Denial � Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: p <br /> La <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <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 September 19,2018 <br />