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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009860 <br /> DATE RECEIVED by EHD: December 19,2013 APPL#: PA-1200118 RE <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Tue, January 7, 2014 <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 /> density, location of house,wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENT& Ory/ /Lw5 �Jrrrr / ✓i � Oi.��c . <br /> I recommend: Approval Denial ❑ Continuance Inspe <br /> Rnature <br /> Supervisor/Lead Senior COMMENTS: _ <br /> n S <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> CA It rhae*Off Uat. Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> F 06 06 Repon 97201 December 20,2013 <br />