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NOTE: PULL AL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004947 <br /> DATE RECEIVED by EHD: March 18,2005 APPL#: PA-05-159 <br /> Referral Agency STAFF CONTACT: CHANDLER MARTIN PE : 2677 <br /> ENVIRONMENTAL IMPACT RPT(ER) <br /> COMPLETE& SUBMIT BY: Thu, April 21, 2005 <br /> Assigned to : EE0600811 HUGGINS <br /> SITE ADDRESS: MOUNTAIN HOUSE COMM ,MOUNTAIN HOUSE APN: <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 Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 7�(r�7tir� ��i/�,���•IV) <br /> CAD <br /> • 91. --.3 <br /> I recommen : Approva F-1❑ Denial ontintlance Inspector: <br /> Signature • <br /> Supervisor/Lead Senior COMMENTS: <br /> M <br /> ell <br /> . - r <br /> l <br /> • <br /> � r <br /> - Sir— <br /> rAa- <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page I March25,2005 <br />