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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013219 <br /> DATE RECEIVED by EHD: April 28,2020 APPL#: PA-1700109 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA)00 <br /> COMPLETE&SUBMIT BY: Thu, May 14, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 11168 S MCKINLEY AVE,FRENCH CAMP APN: 19332020, 19332024 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water sup] <br /> etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population density, lo( <br /> of house, wind direction, etc.... <br /> Public Water: /V,,,, Public Sewer: �� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: // <br /> of✓�✓�d�Y! �`!'P/, >.� h <br /> I recommend: Approval 17 Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> .0o.4 2A.e4,1 �l /0. kjwf OL4 <br /> ,,_-o b <br /> wo <br /> SUPERVISOR/LEAD SENIOR Approval: t Date: <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 05,2020 <br />