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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011665 <br /> DATE RECEIVED by EHD: February 09,2018 APPL#: PA-1700268 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2626 <br /> USEPER NERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, February 28, 2078 <br /> Assigned to : E 9488 WONG <br /> SITE ADDRESS: 20703 N ELLIOTT RD, LOCKEFORD APN : 05121071,72 <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: P tc Sewer: <br /> Name of Purveyor a 2Name of System <br /> SUMMARY OR COMMENTS: Z0 4S (�, �01 / NO /+4A.-r W^_kie <br /> A 1V Z- <br /> t <br /> ,or <br /> ,rn l1,S 1 •�! a M <br /> �I doM vi •The. ><ha <br /> Anaro nl <br /> n s 46 &2rvt2 � ao �l.F is cbmyee6pd 4 /04mws� <br /> I recommend: Approval 0 Denial Continuance Inspector: <br /> Sj nature <br /> Supervisor/Lead Senior COMMENTS: <br /> 1179 <br /> zz 10 <br /> SUPERVISOR/ LEAD SENIOR Approval: 1 Date: <br /> A II Check Off List: Proofread Report? Correct LANDIUSF#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 February 12,2018 <br />