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NOTE: <br />PULL ALL :-ERMITS (Septic, Well, etc.) <br />MAKE wOP1ES FOR FILE <br />LAND USE REPORT <br />RECORD ID: S00004969 6JaZj5Zq <br />DATE RECEIVED by EHD: April 05, 2005 <br />Referral Agency STAFF CONTACT: GILLIAN HAYES <br />COMPLETE & SUBMIT BY: Wed, April 13, 2005 <br />660 <br />SITE ADDRESS: 699 S HEWITT RD, LINDEN <br />APPL #: PA -05-184 <br />PE : 2622 <br />SIIBDIVISON - MINOR (MS) <br />Assigned to: EE0005944 ESCOTTO <br />APN : 18702003 <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 <br />SUMMARY OR COMMENTS: <br />Name of System <br />J�— <br />/i./tA <br />I recommend: Approval I w j Denial <br />Supervisor/Lead Senior COMMENTS: <br />l- <br />:.9 ', d <br />SUPERVISOR / LEAD SEN [OR Approval: �` Date: �� �• - � <br />OA 11 Check OH List Proofread Report? W Correct LAND USE # ? <br />Correct CONDITION(S) ? Logged in LAND USE Book? <br />H,`, ub Kupon :-fil Pa -c3 April 07. 2005 <br />