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NOTE: PULL ALL,.sRMITS (Septic, Well, etc.) MAKE w4PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004497 <br /> DATE RECEIVED by EHD: June 01,2004 APPL#: PA-04-278 <br /> Referral Agency STAFF CONTACT: LEANNE MUELLER PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE& SUBMIT BY: Wed, June 9, 2004 Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 9948 S HARLAN RD, FRENCH CAMP APN : 19327017 <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 /> SUPERVISOR/LEAD SENIOR Approval: � � Date: <br /> OA 11 Check Off List. Proofread Report? Correct LAND USE# i <br /> U <br /> Correct CONDITION(S)? -' 'Logged in LAND.USE Book? <br /> FH 06 06 Report#7201 Page 2 lune 0I,2004 <br />