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r <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011363 <br /> DATE RECEIVED by EHD: May 22,2017 APPL#: PA-1700100 <br /> Referral Agency STAFF CONTACT JOHN FUNDERBURG PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE &SUBMIT BY: Mon, June 5, 2017 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 250 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: G Public Sewer: <br /> ame of Purvey9r Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial ContinuanceEl <br /> Inspecto <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> A) r� CuNtysufl1 /oJ Yoviz- <br /> SUPERVISOR <br /> IZSUPERVISOR/LEAD SENIOR Approval: Date: <br /> All h k S List. Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)7 Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 23,2017 <br />