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NOTE: PULL AL�ERMITS (Septic, Well, etc.) MAK COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007889 <br /> DATE RECEIVED by EHD: August 28,2009 APPL#: PA-0900196 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, September 15, 2009 <br /> Assigned to : E1;0004045 'I'ASIOPOULOS <br /> SITE ADDRESS: 19298 S ALDER AVE, TRAY APN: 21319002 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 4 <br /> �� �4_ ►y1; 1 it <br /> d <br /> I ' 3� w ;, -- ►-�C�`(-e ve' AkIAA�� <br /> I recommend: Approval Denial � Continuance � Insp <br /> tgnature <br /> Supervisor/Lead Senior COMMENTS: <br /> 8"f <br /> C3t"] �o <br /> 1 t ( - c � <br /> r o-3 ,) <br /> —Z v 1 <br /> SUPERVISOR/LEAD SENIOR Approval: #e: t✓j <br /> ?A ii Check 0, Lj[ t �roofr6&k ort? � � Corfe f- ANI7-USE#T, <br /> Carred C _ <br /> -. _ _ Agged 1n.LAND USE.=Book? m. <br /> EH 06.06 Report 47201 <br /> August 31,2009 <br />