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NOTE: PULL ALLYERMITS (Septic, Well, etc.) MAKE C6PIE3 FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006201 <br /> DATE RECEIVED by EHD: August 15,2006 APPL#: PA-0600434 <br /> Referral Agency STAFF CONTACT: BILL FACTOR PE : 2620 <br /> DEVELOPMENT AGREEMENT(DA) <br /> COMPLETE& SUBMIT BY: Tue, September 5, 2006 <br /> Assigned to : EE0000321 OLIVEIRA <br /> SITE ADDRESS: 22801 S MOUNTAIN HOUSE PKWY, MOUNTAIN APN : <br /> HUUNE <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 /> y <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> C) (c <br /> SUPERVISOR/LEAD SENIOR Approval: `— Date: U& <br /> EH 06 06 Report#7201 August 16,2006 <br />