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NOTE: PULL ALLKERMITS (Septic, Well, etc.) MAKE VISPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004916 <br /> DATE RECEIVED by END: March 15,2005 APPL#: PA-05-142 <br /> Referral Agency STAFF CONTACT: CHANDLER MARTIN PE : 2638 <br /> SPECIFIC PLAN(SP) <br /> COMPLETE&SUBMIT BY: Thu, April 21, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: MOUNTAIN HOUSE COMM , MOUNTAIN HOUSE APN: <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 /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 132�,M:�- rn 4-C�:,o- 1L.••1,n..,A., a�,G �Q !�(T� Gfi�'�.c..t.,- <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 4 March 25,2005 <br />