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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011453 <br /> DATE RECEIVED by EHD: August 08,2017 APPL#: PA-1700045 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE &SUBMIT BY: Tue, August 15, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 41 W MATHEWS RD, FRENCH CAMP APN : 19316027 <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 /> �� � �Iy �S .fes Chi/?%'It7�C5 GP-llC CcyrYrl�/D,4Zl�t..�S 1i1'L ZLt/5 �9.9�-/c�7tra./.'�7 <br /> i 1491: . <br /> I recommend: Approval Denial ❑ Continuance Inspee r• _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> h k ff List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 August 09,2017 <br />