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r � <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011452 <br /> DATE RECEIVED by EHD: August 08,2017 APPL#: PA-1700144 Pre-Application <br /> Referral Agency STAFF CONTACT STEPHANIE STOWERS PE : 2691 <br /> GP AMENDMENT 10+acres(GP) <br /> COMPLETE& SUBMIT BY: Sun, August 13, 2017 Vt sfoyl <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 605 W YETTNER RD, FRENCH CAMP APN : 19306003 <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 /> • /��✓ /�i3-U�,�-U3 ��r� �C�,/a.�f�'�°-,�-72_�Y�r �o�f��6�IG� �Y✓/���� � li�zc�. <br /> /n--a-'o-Dw c6;;-/5/.szo UA4a' <br /> v /`33 Co �4,4T.✓a gib�✓�G�i�u >s s�le4- S�sZ�•� <br /> .g'�✓l93 Ltd 3� C��a-,a�J�1�72�/,� A✓��ira-��ro tc�( <br /> %�- <br /> I recommend: Approval Denial Continuance Inspecto _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 August 08,2017 <br />