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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012845 <br /> DATE RECEIVED by EHD: January 03,2020 APPL#: PA-1800294 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Thu, January 30, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 75 E EQUIPMENT CT, FRENCH CAMP APN: 19327017 <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 /> �r✓�Gt/,j /t��'is.�� SUr/D/Z.�7 6 y• <br /> sum azo Z-7, z6" <br /> e!/Y //as�s1✓f�� a s5aeiy��� .. '� 4 Pf PAI /93- 2-7o- ►7; 7f-L4-, /Od e /17 ee, /D <br /> �'e <br /> i✓l� ..cG�✓ e�' Sr1� Z /�Pi+M-s Gam✓ U�-e 4/ .. <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 1l Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 13,2020 <br />