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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012198 <br /> DATE RECEIVED by EUD: May 17,2019 APPL#: PA-1900036 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI <br /> PE : 2626 <br /> COMPLETE& SUBMIT BY: ThuMa Y302019 USE PERMIT-GENERAL(UP) <br /> Assigned to : EE0009833 KAUR <br /> SITE ADDRESS: 19960 N ELLIOTT RD, LOCKEFORD APN: 05121 13,05121070 <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, winddirection, etc.... >�PN (� / Nn t- <br /> Public Water: p N 0 0 ON 01� L OC/-ePo�Ah C ►> 0-7t) , <br /> 3 <br /> Public Sewer:ft P/v C)-7D ; L U(,�thYOf CS D <br /> Name of Purveyor Name of system <br /> SUMMARY OR COMMENTS- F6(AYA J (f rllLiby) Wee ( D21�/Yl l <br /> - Slff, VLlf- <br /> DbSffyr �Lerr"I UY) V eO — <br /> � �►� Sia h n-F SeA�-i Su �-4-r ryL <br /> I recommend: Approval Denial Continuance Inspector CvL <br /> Suoervisor/Lead Senior COMMENTS: Signature <br /> SUPERVISOR/LEAD SENIORApproval: <br /> Date: <br /> A Il h ckff Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br />...ESI 06 06 Report#7201 <br /> May 17,2019 <br />