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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012228 <br /> DATE RECEIVED by ERD: July 11,2019 APPL#: PA-1900039 <br /> Referral Agency STAFF CONTACT. FRANK GIRARDI PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Thu, July 25, 2019 <br /> Assigned to : EE0007380 SHIH <br /> SITE ADDRESS: 23577 S MOUNTAIN HOUSE PKWY, MOUNTAIN APN: 20908026 <br /> TIOUSE <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: NG,, Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �- �e I�pV��� 1►Z(,_t� • talo Z q- Ile <br /> 1 don-- "'e-- ,v.c( ro rv+, <br /> 61+e- v�If t '7-1-(P-11 : /" fi►-1 '"L aµ /�,..�/. •�� C�+c� i''�� S,f// �X,Ia 4, <br /> .7- <br /> 0"-1 „usAa we sf d cmµe o ><e Pud <br /> u�e.,t lr c o P-Y-1 <br /> -7 <br /> I recommend: Approval ❑ Denial F1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> t�� <br /> ck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 11,2019 <br />