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t � <br /> NOTE: PULL ALL ,ERMITS (Septic, Well, etc.) MAKL...OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007347 <br /> DATE RECEIVED by EHD: August 22,2008 APPL#: PA-0800227 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2686 <br /> GP TEXT AMENDMENT-GENERAL <br /> COMPLETE & SUBMIT BY: Wed, September 10, 2008 (TG) <br /> Assigned to ; EE0009649 ESTRADA <br /> SITE ADDRESS: 230 S STERLING DR, MOUNTAIN HOUSE APN : <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: <br /> I recommend: Approval F-1 Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR /LEAD SFN'IOR ApproNal: Ilatc: <br /> [VA"-',!fl Check Off Lrst: Proofread Report? Correct LAND USE# <br /> Corrcct CONDITION(S)? Logged in LAND USE Book? <br /> Ld i uo 06 Report#7201 August 25,2008 <br />