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RB <br /> NOTE: PULL ALL PERMYfS (SEPTIC, WELL, ETC...) MA7KE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-103 (GP) Pre-app <br /> EHD RECEIVED APP.REFERRAL: 3/18/04 COMPLETE & SUBMIT BY: 03/31/04 <br /> DATE DATE <br /> ATTN• <br /> SITE ADDRESS: 26720 NORTH SACRAMENTO BLVD. <br /> , wsv��- <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 COMMEN S: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> ` Vit. <br /> G� <br /> Q <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1/99 OA II CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> 11 Correct CONDITION(S)? Logged in'LAND USE BOOK? <br />