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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012663 <br /> DATE RECEIVED by ERD: November 26,2019 APPL#: PA-1700051 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, December 12, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 6800 S EL DORADO ST,FRENCH CAMP APN : 19307013 <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: MA/i Public Sewer: A/n Ni <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> L,MF' STn0- <br /> � &j1.t10tyS &0(,)o x't-"NS >P PL y <br /> I recommend: Approval F-1 Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 heck Off List; Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 26,2019 <br />