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1 �—* R1 <br /> NOTE: PULL ALL PERM`IT`S (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-74 S <br /> EHD RECEIVED APP.REFERRAL: 3/04/04 COMPLETE & SUBMIT BY: 3-15-04 <br /> DATE <br /> DATE <br /> ATTN: JOHN FIT DERBURG <br /> SITE ADDRESS: 26850 NORTH LOWER SACRAMENTO ROAD GALT <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> 91 ar►riga <br /> 1 recommend: Approval Denial Continuance Inspector's Signature—:� <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1199 ' <br /> „,R- <br />