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NOTE: PULL ALI r+ERMITS (Septic, Well, etc.) MAKE %wJPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008440 <br /> DATE RECEIVED by EHD: September 08,2010 APPL#: PA-1000187 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Wed, September 15, 2010 <br /> .�-1 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: ! �� �/ 21(,1, IGfi�� jJ��l APN : 06708001,03 <br /> --+��1-- <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: 725 ! <br /> - � � � pct-,�l•' �� /�' /o� <br /> vin c.• .�L- ✓`��� �- rte, . - z J � : <br /> 1 recommend: Approval EJDenial Continuance Inspector: ' <br /> SupervisorlLead Senior COMMENTS: Signature <br /> f.'C�v ?I'CJ i ZV7,447Z, 5S- <br /> C! <br /> 2-0 0 V <br /> 1!oa-v YY1 l N .E 2oO.a Z <br /> C2. 2`Lt0 � i1 1�1 • �r 1t '� <br /> 20226 / G �j � <br /> IL t 1-41 -tIj <br /> u : o3 Ua <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> n.r.�..- .xi—1-P <br /> -�_7-.�x;5•3,-�'<�,raS�. .C��o'"-.�_r=.rx ec:.t_.L, .<.�;,}I�_i°�TS,^ts�..';eNfA(5��<.�-; �rr.,e��r.^�:„;;�'�c....�4.r�`ep+_da.�#..F-s;�s,-..:, i rE..fr° �Ss��'>fu�T�-,»C:t�?.I_;rAN.,(g3..�tPxT:J,:�#s-�..��:"e; sw^..a;.£3..:�.g��5�' �`-,•=sa°. t��'3��z° ^r�¢.$,�'i��`„`sr. a �;-s: <br /> �. <br /> ,:: �-.,�„a'°L _ Q!.'i l � " - .;¢' � � „ate ��¢�� r� ..r- �7 t' §`ya,��. `y�r ��•� -.+c� ,� <br /> EH 06 06 Report 47201 <br /> September 08,2010 <br />