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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500009292 <br /> DATE RECEIVED by EHD: July 26,2012 APPL#: PA-1200118 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Wed, August 15, 2012 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 9698 S PRIEST RD, FRENCH CAMP APN: 19322015 <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 /> lenity, location of house,wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of eyor Name of System <br /> SUMMARY OR COMMENTS: Zo �� <br /> �a o,'g <br /> d <br /> • Br"k -y 5 �dl - r m.n-,,� � fA �aQ.*,-._�— t 5�.��I cz�) <br /> 1 recommend: Approval Denial ❑ Continuance ❑ Inspector <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0q <br /> o 1 ' o <br /> Qb 20 : 0 <br /> 2 : t tz tv <br /> c) 3 <br /> AGI -2--Z " O� <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> I <br /> T <br /> OA 11 Check Off List; Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report H7201 July 31,2017 <br />