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NOTE: PULL ALL-PERMITS (Septic, Well, etc.) MAKE'160PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005713 <br /> DATE RECEIVED by EHD: December 12,2006 APPL#: PA-0200631 TE <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE& SUBMIT BY: Tue, January 2, 2007 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 3685 S TURNPIKE RD, FRENCH CAMP APN : 17520002&03 <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: al'�ar�r; j,�/ ,. Public Sewer: 7 , T s<. <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 0A /l Chock ON List: Proofic<td J<q'ort7 Conect-LAND USE h"? <br /> Coni COND!FION(S)? Lo—,cd in LAND USE Hook? <br /> EH 06 06 Report 117201 December 12,2006 <br />