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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010733 <br /> DATE RECEIVED by EHD: December 30,2015 APPL#: PA-1500266 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, January 13, 2016 <br /> Assigned to: EE0004045 TASIOPOOLOS <br /> SITE ADDRESS: 101 E TRANSPORTATION CT,FRENCH CAMP APN : 19327018 <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: 51„�,�`�y�,� 71& 2 Public Sewer: <br /> Name of Purveyor' Name of System <br /> SUMMARY OR COMMENTS: r SZL& L437t_ q.4 <br /> alp 7- :50i <br /> /02 0l a IQ-.Ir 03 ,Y er s�G,.s •z.o�� <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 3' <br /> LI <br /> c <br /> 012 0 ( <br /> SUPERVISOR/LEAD SENIOR Approval: Date: E <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 31,2015 <br />