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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00009815 <br /> DATE RECEIVED by EHD: November 13,2013 APPL#: PA-1300194 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2634 <br /> IMPROVEMENT PLAN-MINOR(IP) <br /> COMPLETE&SUBMIT BY: Tue, December 3, 2013 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 25 E MAIN ST, MOUNTAIN HOUSE APN : 20905011 <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: /, ,,/ 9q <br /> Il i� S NJ YYC�� Or erY/!t •;. �I.�.-,� �ise.�.r.� <br /> ,i�iLiar>. .fn rn >l�i �..✓� t.,. LlJrettacr� <br /> I recommend: Approval ® Denial Continuance Inspector• <br /> Sill6ature <br /> Sunervisor/Lead Senior COMMENTS: <br /> �C ' No ebSev�ea. S <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 1 <br /> Proofread Report., Correct LAND USE# <br /> Correct CONDMON(S)? Logged in LAND USE Book? <br /> 1-1106 06 Report 97201 <br /> November 14,2013 <br />