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NOTE: PULL �� PERMITS (Septic, Well, etc.) MA COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005748 <br /> DATE RECEIVED by EHD: November 01,2005 APPL#: PA-0500733 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2622 <br /> SUBMVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, November 15, 2005 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 420 N HEWITT RD, LINDEN APN : 09303066 <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: D�e ` <br /> i ✓A'Sr on �� /� S 8v <br /> // : 03 c <br /> — ir: C) 12 s�;/�H h, ; � S oG � �s� lu�"iw�y <br /> -�-� �� nc��otc� 6Yur— � es � wv.a� vn�c, a�nliff�-vii✓\... <br /> I recommend: Approval Denial Continuance Inspector- <br /> Supervisor/Lead <br /> nspector•Su ervisor/Lead Senior COMMENTS: / <br /> A, 41 //1,1b) 2� �Y—P W - wj <br /> o — vl 61 T S— - <br /> / o�— )0 / 2d $ <br /> -7 C2 Z PM LZ <br /> �) / / o <br /> e l -'2 0 <br /> SUPERVISOR/LEAD SENIOR Approval: — Date: l <br /> 1. e <br /> o FORMT-M <br /> EH 06 06 Report 97201 November 03,2005 <br />