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NOTE: PULL AL ERMITS (Septic, Well, etc.) MAKI PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007500 <br /> DATE RECEIVED by EHD: December 04,2008 ADPL 9: PA-0800359 <br /> Referral Agency STAFF CONTACT: MO HATEF PE ; 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE & SUBMIT BY: Wed, December 31, 2008 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 9240 S HARLAN RD, FRENCH CAMP APN : 19321002 <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 /> 31 f R 04 <br /> ....tom ...�w� „ <br /> I recommend: Approval Denial Continuance lns'e t <br /> Supervisor/Lead Senior COMMENTS: <br /> D2 <br /> a L/ <br /> & � <br /> r <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> IJ"A trttec 0.{ffi ik 1'roofzead e�rt ' .Carrec I�1 E#}'? <br /> 94aged kn LANDW <br /> x... ._ <br /> EH 06 06 Report P7201 December 05,2008 <br />