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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013292 <br /> DATE RECEIVED by EHD: May 08,2020 APPL#: PA-2000073 Pre-Application <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2634 <br /> IMPROVEMENT PLAN-MINOR(IP) <br /> COMPLETE&SUBMIT BY: Fri, May 15, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 255 W LEGACY DR, MOUNTAIN HOUSE APN : 25423003 <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: x4 y--s/-> Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II heck Off Li Proofread Report? Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 13,2020 <br />