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NOTE: PULL ALL -IWAMITS (Septic, Well, etc.) MAKE 6,.%41E$ FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006715 <br /> DATE RECEIVED by EHD: September 04,2007 APPL#: PA-€1700399 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2690 <br /> i LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: -bY <br /> �-bAFAssigned to ; EE0007379 BOERTIEN <br /> SITE ADDRESS: 42 W MATHEWS RD, FRENCH CAMP APN: 19317001 34 35 <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: ldn� A Public Sewer: X114 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENT'S: <br /> a z-e-�4 t <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ,V <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 0�4 IICfi�ck'Dff Lrs't proofread 1Zeport? r orieGt�L #7 <br /> r Correct 00NDIT�f]N(S),7 Logged to LAND[ E Book? .n. <br /> EH 06 06 Report 47201 September 06,2007 <br />