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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009784 <br /> DATE RECEIVED by EHD: September 27,2013 APPL#: PA-1300165 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 22, 2013 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 1653 N ESCALON BELLOTA RD, LINDEN APN : 09314007 <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: s� rb022saA- S ol0 ea wf4 <br /> ' 1 <br /> I11 DLJ— rev a%%V'dar ASL <br /> 1 recommend: Approval Denial Continuance Insp <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> E 4s <br /> b� <br /> A� it I � SSI,n ' rix k Cil �wEK�. 60 PCcCiL. � N1c,� . <br /> num i'-LAMaVA11, DR"r nbLI UUILA L <br /> t� � t1 3t�) A e St�6� S� sLaw. &j rw-r !! tPil.dop� �( <br /> az — 5-1" <br /> SUPERVISOR/LEAD SENIOR Approval: _ Date: v e -51 <br /> EH 06 06 Report#7201 September 30,201; <br />