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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011321 <br /> DATE RECEIVED by EHD: April 19,2017 APPL#: PA-1700075 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDtVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Wed, April 26, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18626 E COPPEROPOLIS RD,LINDEN APN : 18321001 <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: _`«eq:�14e7,�_ e0X&/I Z G 45—,c- <2�L�Zj i f�L� <br /> G' <br /> /yrteF22 s x/d 02— Fs t 'O-f i9 ;f '-F 4416w 15 <zr <br /> ,f 7r� i —�y,✓s�7 1�rrfii,✓cir� co rsi� r3�1, <cr�Gr�,,.e.�razl�/f�s <br /> -��or1�r ,e..F�.�lc • A !) /=!/�41 (�FTsfc'b1�6H3iZ�� �JL�� �ri.��r,�2v � <br /> c12,2:ez .A1Zi2 &-7-, &4) Fl 22:di <br /> I recommend: Approval D" Denial Continuance Inspec <br /> Signature <br /> Supervisor/Lead Senior <br /> COMMENTS: <br /> N <br /> i <br /> • 1111016 10- <br /> i0 <br /> 22%oZ <br /> P . 6Z <br /> ? 2;oI wANse Weut,, rog yhrcr--1, I <br /> s yr o - <br /> ;D <br /> 1 1 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off Lis • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 19,2017 <br />