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NOTE: PULLAL+ ERMITS (Septic, Well, etc.) MA PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007601 <br /> DATE RECEIVED by EH-D: February 23,2009 ADPL#: PA-0900031 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2691 <br /> GP AMENDMENT 16+acres(GP) <br /> COMPLETE& SUBMIT BY: Wed, March 11, 2009 <br /> Assigned to : EE0005366 MEAINA <br /> SITE ADDRESS: 17436 N HWY 88 , LOCKEFORD 7336 APN : 05125012 13 <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: fjr . Public Sewer: .y <br /> �T Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> C-/ � -� <br /> fi <br /> I recommend: Approval ©�D-enial � Continuance � lnsp �� <br /> { Sig tature <br /> Supervisor/Lead Senior COMMENTS: <br /> ✓Z� <br /> 41+ - GA-vL <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> zi� <br /> bl�!f C11eck C3fiFLrst Proofread Roor _ pri�6iLANll 915 <br /> ' ._ M Carrect�tJNIIiJ(? S}7 , Lecl in LAND 3nat - <br /> _ . __.. <br /> EH 06 06 Report#7201 February 24,2009 <br />