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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: Nie <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: C Qa <br /> -t.0I �Sb-1 -Lq: P v t c e( r4 PrJ t y 3- 07-W Zc Jo ice.s p",,,�ls <br /> ALUK ri 25 F. C_anre P41. Aar1,-&1 4 PIJ IC4-6- 02 "ut3-1 kaS ��y AR� Kf1i�S i G2SI S' GL <br /> Dorn.-40 St av-A �o�4y 5� r-tt"e_�- �u P' Rd <br /> -- <br /> Un. SeP--'c e r .wLl rtla.-+•d p+rrn -ft {ut IAPti 113-02-401 <br /> APQ L4A- 07-001: sep�.`a 5y�a�.r• ��..r =t b53v1 , SCPirY wK do5-lrrc. — <br /> ,V#Wt 312CO 10'V )ff9, 5&0( ,l7o17 a.) 59604y551 o,J c>vjL c>od e34 Serv•;a- <br /> �c� <br /> I recommend: Approval F-1 Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 h 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 />