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r 4 <br /> NOTE; PULL ALL , MITS (Septic, Well, etc.) MAKEi, IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006678 <br /> DATE RECEIVED by EHD: August 02,2007 APPL#: PA-0700358 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, August 21, 2007 <br /> Assigned to : EE0407379 BOERTIEN <br /> SITE ADDRESS: 375 N ESCALON BELLOTA RD, LINDEN APN : 09313003 <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 reap of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: /V/A Public Sewer: /t//A <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: (/ <br /> �-��L<+' �Crt-. /W►'�-['"�r:rr.I /r l�f� �' /.. � !� !n/,rf'�'c'�' � t .�"M/ <br /> or <br /> 12 L <br /> ,2 2-. / <br /> I recommend: Approval ® Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: _ <br /> . a <br /> C- �� � o � �` � � i 1 <br /> 1� 27 = p/ <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Tv e <br /> 0 'VCheek Off as i ri pr6ofrea�l Report? � , rrecC LA ID USE#2 5 <br /> Correct CNDITJCIN(S} i o$gel inSL� 1D CI11_SoQI�? r�. . <br /> ,H 06 06 Repan#7201 August 03,2007 <br />