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FLANID3 <br /> NOTE: PULL ALL MITS (Septic, Well, etc.) MAKE ' IES FOR FILE <br /> REPORT RECORD ID: SU0006845 <br /> DATE RECEIVED by EHD: November 19,2007 APPL#: PA-0700441 REV SP <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE&SUBMIT BY: Mon, November 26, 2007 <br /> Assigned to : EE0007379 SOERTIEN <br /> SITE ADDRESS: 8853 S MANTHEY RD, FRENCH CAMP APN : 19320006 <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: A11A _ Public Sewer: )A <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 /> X7 4 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: G <br /> OA lI Oheck�Off L isf. 1?tpq�read R�port'� � t�o�ee��LA�,�SE#� <br /> i 7"77 <br /> OQrrect 7�T,pIT1ON(S}, ._ .. dogged i I9:USo'bk <br /> _. <br /> _ .. <br /> EH 06 06 Report#7201 November 19,2007 <br />