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i <br /> NOTE. PULL AL04RMITS (Septic, Well, etc.) MAKE OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006507 <br /> DATE RECEIVED by EHD: April 03,2007 APPL th PA-0700116 <br /> Referral Ageney STAFF CONTACT: MO HATEF PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE&SUBMIT BY: Wed, April 11, 2007 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 8853 S MANTHEY RD,FRENCH CAMP APN : 19320006 <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 F-1 Continuance Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA f!Check Off Lisp Proofread Report? Correct LAND USE.#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br />