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1 1 <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011847 <br /> DATE RECEIVED by EHD: June 29,2018 APPL#: PA-1800118 <br /> Referral Agency STAFF CONTACT JOHN FUNDERBURG PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Fri, July 20, 2078 <br /> Assigned to : EE0000034 ARMED <br /> SITE ADDRESS: 210 W RAMSEY DR, MOUNTAIN HOUSE APN : 26202003 <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: #45,0 Public Sewer: �V <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> y/s ' c 711112✓/1l : <br /> V <br /> Lt�tllivd ` '� � <br /> I recommend: Approval 7 Denial Continuance Inspector: ct. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> -7Z ZI L7 <br /> SUPERVISOR/LEAD SENIORApproval: Date: Z, ) <br /> OA If Check Off List: Proofread Report? Correct LAND USE# <br /> Correct CONDITIONS)?_ Logged in LAND USE Book? <br /> 8Ii 06 06 Report N7201 July 02,2018 <br />