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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010861 <br /> DATE RECEIVED by EHD: April 18,2016 APPL#: PA-1600046 <br /> Referral Agency STAFF CONTACT: MEGAN E AGUIRRE PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, April 27, 2016 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 865 E ROTH RD, FRENCH CAMP APN : 19332016 <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: 1.3 <br /> w, fLIA41 ars .tom o 1 <br /> c o! / i ��e o ivc e'U'L 5 o G ri L ✓'7 <br /> L✓�l��,}7.v nac. ! c�-.r�rr SLS-��Mf 1s �Cio/c.JL �( �"/�- 1'�ot�✓ <br /> ' 't7 c<1,er ! ✓1 1 l 00 r✓} O(t � eC �. ./hR � 1 l `� (_ �• <br /> I recommend: Approval Denial ContinuanceEI <br /> Inspe <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> �pkt` AQ& DkS�t'� I.yu7�{W �l .l,fzk ��h.AM hlS�ztn< <J �T <br /> S rC.. �j3�6� dot cZ ��z (� c�5c�. t,��> <br /> L <br /> i w-S c <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> op <br /> 16 X .,.... - <br /> Pro'6fread Report? tVEICUL LAN57SE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 19,'n 1 <br />