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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011226 <br /> DATE RECEIVED by EHD: February 17,2017 APPL#: PA-1700024 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, February 28, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 13320 E HWY 88 , LOCKEFORD APN : 01902020 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 7lef/rz✓ /— Wr G�GiLE <br /> jj <br /> I recommend: Approval Denial Continuance Inspecor: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> j0 <br /> 10 22� <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> I Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 17,2017 <br />