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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009177 <br /> DATE RECEIVED by EHD: April 26,2012 APPL#: PA-1100071 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURC PE . 2622 <br /> SUBDIV150N-MINOR(M5) <br /> COMPLETE & SUBMIT BY: Tue, May 22, 2072 <br /> Assigned to : EE0005944 ESCO"TTO <br /> SITE ADDRESS: 7899 N DEMARTINI LN, LINDEN APN : <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> >Lipplies, etc...). Where necessary. on an attached piece of plain paper, draw complete map of area showing population <br /> .tensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS.• <br /> `Za 3 � �►rd <br /> - <br /> '2E..- .J 7 <br /> - I".) . <br /> f.3 /`v� ) zz <br /> I recommend: ApprovalLIT Denial Continuance Inspect r <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> � '(.�� ��'h-'%'/ C,t'1 v't ,tip^ � ^�`r2 ��.a72 S � 1/].t- Cz/" <br /> /V/ <br /> 1 � t�L�+ t LF u�1. 41,,x-J <br /> o- f <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: '4—L L <br /> d'eckUf,La9A l hl apo ot USE ? <br /> I � <br /> CorregCONDI f <br /> ,1106 06 Report 471-01 April 30,201 <br />