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NOTE: PULL ALL'YIERMITS (Septic, Well, etc.) MAKE Cw?IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006227 <br /> DATE RECEIVED by EHD: August 28,2006 APPL#: PA-0600127 <br /> Referral Agency STAFF CONTACT: CHANDLER MARTIN PE ; 2620 <br /> DEVELOPMENT AGREEMENT(DA) <br /> COMPLETE&SUBMIT BY: Fri, September 1, 2006 <br /> Assigned to . EE0000321 OLIVEIRA <br /> SITE ADDRESS: 22261 S MOUNTAIN HOUSE PKWY, MOUNTAIN APN <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 /> C) <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: < Date: o 10 <br /> CA 1i Check Off List. Proofread Report? x. Comct LAND US <br /> Corry, (OND] in LAND [JSL. BI . <br /> EH 06 06 Report#7201 August 29,2006 <br />