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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011429 <br /> DATE RECEIVED by E ID: July 17,2017 APPL#: PA-0300368 <br /> Referral Agency STAFF CONTACT JOHN FUNDERBURG PE : 2611 <br /> SUBDIVISSI�O�N-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Fri, August 4, 2017 -Ti" `�'��,"Sldn <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 23577 S MOUNTAIN HOUSE PKWY, MOUNTAIN APN : 20908026 <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 /> o <br /> /7 <br /> I recommend: Approval [a Denial ❑ Continuance ❑ Inspector: <br /> ` - Signature <br /> Supervisor/Lead Senior COMMENTS: f <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Ell 06 06 Report#7201 July 19,2017 <br />