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�1 <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009535 <br /> DATE RECEIVED by EHD: February 20,2013 APPL#: PA-1300007 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, February 27, 2013 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 865 E ROTH RD, FRENCH CAMP APN: 19332016 <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: 3 ` k aXFr 4i w yE K 42+v <br /> ` so: T O✓r�- c -zt v <br /> i "A <br /> Z�'U� - v ca-r s� s r c <br /> 2 dL VV �iL Ct�7 <br /> I recommend: ApprovalN— ElDenial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> � L Imo. —• �iUl t.A�lst,E� �Nt/'l <br /> K� 22 02 F <br /> T1C�) i1 <br /> 11IliaZ� TDK G/DDI/GAK ( FIGS T�ff>G�R- <br /> 22121 <br /> �Z U� Q�4020( TNS �IzcJPU1>rxlrz�lr/ I,c LJ�ti /L <br /> Mimi <br /> eAv <br /> �EPERVISOR/LEAD SENIOR Approval: Date: <br /> OA I/Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? - Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 20,201 i <br />