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NOTE: PULL ALL'PERMITS (Septic, Well, etc.) MAKE COIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006105 <br /> DATE-RECEIVED by EHD: July 03,2006 APPL#: PA-0600359 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, July 18, 2006 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 10998 S HARLAN RD, FRENCH CAMP APN : 19333030 <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 /> I recommend: Approval Denial El Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEND SENIOR Approval: Date: <br /> OA h Check Off Lisl i'roofread R,,port? Correct LAND USE#4 <br /> (oiicrt CONDITION(S)? Logged in LAND.USI;Book? - <br /> EH 06 06 Report 4720: July 05,2006 <br />