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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011507 <br /> DATE RECEIVED by EHD: September 25,2017 APPL 4: PA-1700190 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 17, 2017 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 17508 E FRAZIER RD, LINDEN APN : 06510008 <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, wtn direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: g1e /; /! � IWWT���ye� <br /> i <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Sign ature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11Check ff Lis : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 September 26,2017 <br />