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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011373 <br /> DATE RECEIVED by EIID: May 30,2017 APPL#: PA-1700109 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Wed, June 14, 2017 Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 11168 S MCKINLEY AVE, FRENCH CAMP APN: 19332020 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water sup] <br /> etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population density, loc <br /> of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY <br /> ORCOMMENTS: (�S'�� 75"/- 'o' <br /> CN- �� �.✓ - �sem- - <br /> 2.2 ',o 'Z- �f. - b� CO-4`Z)g - <br /> 2zId1iur <br /> �oT l7�sn�vr�tiy .d <jT� _ <br /> I recommend: Approval ® Denial ❑ Continuance ❑ <br /> Su er i or Lead�Seelyo•COMMENT <br /> T'�_l. - <br /> AlM LJ <br /> I la'0' tr <br /> 0 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)7 Logged in LAND USE Book? <br /> EH 0606 Report 47201 ���j' 3une 01.2017 <br />