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1W <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010729 <br /> DATE RECEIVED by EHD: December 24,2015 APPL#: PA-1500261 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE: 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, January 19, 2076 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 31345 E GROOMS RD, OAKDALE APN: 20728004 <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 <br /> -OORCOMMENTS: <br /> l l`'wt OZ.-.. Ff ✓Cc <br /> I recommend: ApprovalFA Denial Continuance Insp <br /> gnature <br /> Sunervisor/Lead Senior COMMENTS: <br /> 4A, (t,\ <br /> t 1 -6 ?4.t=:j1 _ I s s V n-,-e —P <br /> o `3 (e) <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Hook? <br /> EH 06 06 Report#7201 December 24,2015 <br />