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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009681 <br /> DATE RECEIVED by EHD: June 24,2013 APPL#: PA-1300099 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2660 <br /> 707N -- - DEVIATION(DV) <br /> COMPLETE&SUBMIT BY� T ue, 16, 2013 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 6351 W DELTA-AVE, TRAC APN : 21310030 <br /> (n 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: 7/LZ� S/T �ttri� Wt� �t nwnw. <br /> Tom, <br /> 1 recommend: Approval ® DenialEl <br /> Continuance Inspe <br /> �gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> 4.r� fl�?Ly'• ( ua�-&'LJ � <br /> SLPERVISOR/ LEAD SENIOR Approval: �L Date: <br /> OA 11 Check OS List: Proofread Report? Correct LAND USE#? <br /> Correct CONDILION(S)?. Logged in LAND USE Book? <br /> EH 06 06 Report 47201 June 25,201: <br />