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NOTE; PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012045 <br /> DATE RECEIVED by EHD. May 17,2019 <br /> APPL#: PA-1800177 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO <br /> PE : 2626 <br /> COMPLETE&SUBMIT BY: FriMa Y312079 USE PERMIT-GENERAL(UP) <br /> Assigned to : EE0009825 AFO <br /> SITE ADDRESS: 9698 S PRIEST RD, FRENCH CAMP <br /> 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: �pV(— Public Sewer:- <br /> Name of PurveyorName Sof System <br /> SUMMARY OR COMMENTS l! 1'v"PU/-: ( pm L+ �Z G w <br /> D✓! S� �e i(�` oh - l-P s G old Ian 1 <br /> 1 � r <br /> cop-ds /Ln C( A hPicv Gve(I iN -I-kt- soi,1� eo/-E <br /> �.V •... �/Yt1 00-- Y-I0 C.-'!cam(U <br /> O- ? firzN <br /> C'*' n <br /> 6.4 6,2 -f1d ov ,Viv 70a/-e <br /> ---------------- <br /> I recommend: Approval � Denial Continuance <br /> Inspector: <br /> Supervisor/Lead Senior COMMENTS• Signature <br /> SUPERVISOR/LEAD SENIOR Approval: <br /> Date: <br /> All he k SLi : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> L11 06 06 Report 47201 <br /> May 17,2019 <br />