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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012217 <br /> DATE RECEIVED by EHD: March 06,2019 APPL 8: PA-1800327 <br /> Referral Agency STAFF CONTACT JENNIFER JOLLEY PE : 2685 <br /> GP TEXT AMENDMENT-MINOR(TA) <br /> COMPLETE &SUBMIT BY: Tue, March 12, 2019 <br /> Assigned to : EE0007380 SHHI <br /> SITE ADDRESS: 7751 S MANTHEY RD, FRENCH CAMP APN : 19305015 <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: 7 o Public Sewer: A6 <br /> ame of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval El Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 1:1 106 06 Keport#7201 March 07,2019 <br />