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NOTE: PULL ALL MITS (Septic, Well, etc.) MAKE _0+IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006449 <br /> DATE RECEIVED by EIlD: February 21,2007 APPL#: PA-0700060 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, March 6, 2007 Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 11180 S VALLEJO CT, FRENCH CAMP APN : 19338003 <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: ^/14 Public Sewer: N A <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /l . " 3 :!", I,,- J-CecC.te Oii n, r <br /> 41 1) ;;- r.i 0(u.y r k. 27� .J4121i e 7.., <br /> i <br /> r i <br /> (tnlz <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> b <br /> = 05 � <br /> L4 /Sr �r r¢,u 2 <br /> �) 101: t75 &SL rrs r�;:�� tiaZ,reycvs vyArr� t /�i <br /> A >✓PR tom TFie,4zmW Nu"x-er4 %A�o /D�vGL Y ltil7il <br /> 61'�l'c'IGA-tS�� ���y1Yl/tc�. s <br /> ;UPERVISOR/ LEAD SENIOR Approval: Date: <br /> "OAR Check Off List: Proofread Report? Correct LAND USE#? <br /> "#'' Correct CONDITION(S).? Logged in LAND USE Book'?- <br /> iH 06 06 Report#7201 February 21,2007 <br />