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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006540 <br /> DATE RECEIVED by EHD: April 24,2007 APPL#: PA-0700140 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Wed, May 2, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 11288 S MCKINLEY AVE, FRENCH CAMP APN: 19332024 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, wa <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 P rveyor Name of System <br /> SUMMARY OR COMMENTS: 2 C t,r& /, , <br /> ��� ✓ — / 1 a 7�iaeV.f <br /> _ w <br /> I recommend: Approval ® Denial Continuance Insp 'Y <br /> "�.-5 goatur <br /> , <br /> ioY r/Lead Senior <br /> ior COMMENTS: <br /> ' D <br /> 0 r2 J L s4/uA/SI7 sIf� <br /> L� <br /> L <br /> 2 2 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check Off List: 1'roofread Report? Correct LAND USE le? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> ELI 106 06 Report#7201 April 26,2007 <br />