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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004826 <br /> DATE RECEIVED by EHD: February 08,2005 APPL#: PA-05-50 Pre-Application <br /> Referral Agency STAFF CONTACT THY ALLEN PE : 2622 <br /> 1t�► SUBDIVISON-MINOR(MS) <br /> COMPLETAVVVVVV9 February(-5 2005 <br /> ����`''�` Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 333 S HEWITT RD, LINDEN APN : 18332017 <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: <br /> 62t 45 7bo,) �2/mss/os) <br /> </r✓/I'�r�P/L/ZY C/- 7�.�f'/G4c7lZY <5 l�L!?E."J AS /�-'fsZe�Z[=Gpeu Fes'- •!.92� <br /> Ts P/t�Y7Z�ic<�.t/�rTir�/I�cBt.t c�¢�i}c 6-4F,&2 ftL.Sftg&57Z07eg[ e2t&!22r,= /92 ! <br /> _ ���/�t�vsrnat,71d7�.5 <br /> I recommend: Approval Denial Continuance Inspector <br /> Signature <br /> Sutiervisor/Lead Senior COMMENTS: <br /> r = off <br /> r = v3 <br /> 22••02, <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA It Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> -H O6 Oo Repon;7201 February 11,2005 <br />