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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00009099 <br /> DATE RECEIVED by EHD: March 13,2012 APPL#: PA-1200032 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Thu, April 5, 2012 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 25 E MAIN ST, MOUNTAIN HOUSE APN : 20904018 19 <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: G1 Public Sewer- <br /> Name of rveyor Name of System <br /> SUMMARY OR COMMENTS: ` <br /> � � � � /✓O wN•aii w 5 ¢n/Sr StK/4'M o)� ,�f�y�y <br /> 20 r.ds � ���—�-a-D <br /> 2Z O-7 t I <br /> � L v <br /> [ recommend: Approval ®, Denial El Continuance Insp <br /> gnature <br /> Supervisor/Lead Senior COMMENTS, <br /> 0L <br /> I Lo ON <br /> (-DJ 22 '. y7 <br /> SUPERVISOR/LEAD SENIOR Approval: ` Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? logged in LAND USE Book? <br /> 13H 06 06 Report#7201 <br /> March 15,2012 <br />