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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500011119 <br /> DATE RECEIVED by EHD: November 14,2016 APPL#: PA-1600262 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, December 6, 2076 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 101 E TRANSPORTATION CT, FRENCH CAMP APN : 19327018 <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, win direction, etc.... <br /> Public Water: _ Public Sewer: y� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 4 , 4 <br /> ccL ( :oz — rfluov <br /> s L <br /> yri <br /> f, <br /> I recommend: Approval FYI DenialEl Continuance ❑ Inspect <br /> 'Signature / <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 Z <br /> 2 , <br /> 14 <br /> 46,65, <br /> # 1 sem 74ft <br /> # z,%02W <br /> it '3z9�6 <br /> SUPERVISOR/LEAD SENIOR Approval: � —� — Date: ( � <br /> A II Check Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 15,2016 <br />