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NOTE: PULL ALL- ERMITS (Septic, Well, etc.) MAKE L. oVIES FOR FRE <br /> LAND USE REPORT RECORD ID: SU0008584 <br /> DATE RECEIVED by EHD: January 18,2011 APPL#: PA-1100003 <br /> Referral Agency STAFF CONTACT: MO HATEF PE: 2631 <br /> COMPLETE& SUBMIT BY: Tue, Februaa, ,1, 2 11 SITE APPROVAL-MINOR{3A} <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 10660 S HARLAN RD, FRENCH CAMP APN : t9327016 <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: � . 4 <br /> v <br /> ho <br /> 49 <br /> 4 <br /> 1 recommend: Approval Denial Continuance Inspector• <br /> i� <br /> Supervisor/Lead Senior COMMENTS: are <br /> -2- v <br /> SUPERVISOR/LEAD SENIOR Approval: e. <br /> OA!1 CheckpOL#st �predepp%?, ', .... <br /> ff f <br /> 6 <br /> ' EorracTtJNI3I �i�T <br /> - { ggetl'�n LNL�USSuoic� . <br /> � .- <br /> EH 06 06 Report#7201 <br /> January 18,2011 <br />