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NOTE: PULL Ad ERMITS (Septic, Well, etc.) MAK PIESFORFILE <br /> LAND USE REPORT RECORD ID: SU0007531 <br /> DATE RECEIVED by EHD: January 02,2009 APDL#: PA-0800374 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE c3z SUBMIT BY: AR A P.PV, <br /> F 11W1 11 LJ I Assigned to : EE0004045 TASIOPOULOS <br /> r <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: �— Public Sewer: <br /> Name of Purve or Name of System <br /> SUMMARY OR COMMENTS: ( 7 <br /> r j <br /> 1 <br /> I recommend: Approval Denial Continuance Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> NO <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 4.PSQQ1' 'L'+7S7I"�, <br /> 'Q-ART LA"NI3- <br /> <._r t N ` <br /> ( LANDLi <br /> EH 06 06 Report#7201 January 05,2009 <br />