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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012489 <br /> DATE RECEIVED by EHD: August 09,2019 APPL#: PA-1800259 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, September 12, 2019 <br /> Assigned to : EE0007380 SHIN <br /> SITE ADDRESS: 25 E FRENCH CAMP RD, FRENCH CAMP APN: 19307002, 19302001 <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: N,,,` Public Sewer: Nae <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: Q� ,cel r4 PrJ 1 qg_ o7-uv Z Cod-✓ <br /> o�� � #o� $-1b-w: P ,n".,.45 f <br /> Aeu*V it 25 F n:R lel, harc4el fi A#J tci3-oZ -uvl ka s A,4d t.K-.s 6zri S. �-L <br /> Dnr^A St av-A ftp{ <br /> wta SeQ-�'r or -,cLL ecla.*•d {w r11Pn! /13-02-441 <br /> 'sKl it�w K� rk.�.�is -For APQ LA3- 07-001: —4e)D46 j--.r"t 653y1 Se-P4M +AwKd0SgrrC44 - <br /> 7!Of t 3AP (,VV 7ff9, k o „Vt cQ�s{r�+1+c� �P►M �r 5&0(,,/797 aµd 59606YTTI a„t1 DV%X <br /> 4 ttt pP�M ''E 5goo (0Yt9 Z . <br /> T <br /> 5-4r 1/ "f <br /> I recommend: Approval F-1 Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A it Ch k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 09,2019 <br />