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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011959 <br /> DATE RECEIVED by EHD: September 14,2018 APPL#: PA-1800201 <br /> Referral Agency STAFF CONTACT JOHN FUNDERBURG PE : 2635 <br /> IMPROVEMENT PLAN-GENERAL <br /> COMPLETE&SUBMIT BY: Mon, October 8, 2018 (IP) <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 1140 S VECINDAD ST, MOUNTAIN HOUSE APN: 26202010 <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: '44t/ey) <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: / <br /> Me-) rtlLLS a/ s1/�� z /�r•M+ }7 gni h!� <br /> L v 0/2- wl`dc N. cu��o»tl ew% + . Na 5'(�n,e�✓re <br /> 524i � t Ie S✓ 4/.Pct .I S (sn xS- � � S�a/.✓•Sr Ef�$• <br /> ioo�dg' <br /> I recommend: Approval Denial F—] Continuance F—] Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> f <br /> 3 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <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 September 20,2018 <br />