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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011948 <br /> DATE RECEIVED by EHD: September 06,2018 APPL#: PA-1800159 <br /> Referral Agency STAFF CONTACT'. JOHN FUNDERBURG PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Sun, September 23, 2018 <br /> Assigned to : EE0000034 AHMED <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: �f csr Public Sewer: ' Vf1c� <br /> ame of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /*) <br /> (,p�rvwc✓�Z <br /> oy <br /> 3tav�a� <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> DAA DoT/ <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA Il Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 18,2018 <br />