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NOTE: PULL ALL ti _RMITS (Septic, Well, etc.) MAKE G_ !IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008968 <br /> DATE RECEIVED by EHD: November 14,2011 APPL#: PA-1100215 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, December 6, 2011 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 29000 N MACKVILLE RD, CLEMENTS APN : 00918007 08 <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 /> LE ) r <br /> ' <br /> 7CLZF j lqi. IeLto/s C`Tlt✓ if s�> i SYSnt lis>is 7?4�er?lii 4i 7.yi <br /> 1�2� td xi GGik�s7% !,' V, <br /> p/��lEz L �®yyS.Y J v--/a! 612422�Fe ZAsu' es/i.f / 1CC�L#tf 7,sfi /1�Z s /Z� y 7l <br /> CO. ✓57i�7 Ems✓`/iA6P/eX- W <br /> t�3 -77 -4 13c 'An eX-o C-EWK';l c- A �GZc �.J/YF i lirll4 <br /> 1Yt/3[z✓[3�+t i sar'��Jf2 rle o rl�o7HsT.n�dti�' <br /> 3 F44an <br /> t recommend: Approval Denial Continuance Inspecto . <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> >`j- � 2- 1oIntef7G3 Zit 4n4 fir— lL /Zr/b /i✓ fLi�/� i« li <br /> i <br /> ���' .IXJ <s-�'«-G'Ltll/JE-i7/1l/L7�y I�"'Yli7[' /!ZZ[G fZr� 1h%5 5Y �!i�--'✓I <br /> 2 /e?& 4 /7/yd-f- J <br /> /) /.•/�61�7c. 7�cy-�afiZJs/�tn .t/lp7/�,t<a--� i�;,,�r'�-t �z �vis�-/7/yt3p.. �J�r-x , <br /> �) Zz:ua �G r n,o %ft,� hrtr rV sd rte, Pe e eo7zfkZr-v1 NOV -!f, 2 aC/ <br /> 2&f43r- T7tMe <br /> ezi //-,03 U <br /> y1 2z:oi <br /> SUPERVISOR/ LEAD SENIORApprosal �-�� Due <br /> OA I/Check Off List: Proofread Report? Correct LAND USE ti '? - <br /> Correct CONDITIONS)? Logged-in LAND USE Book? - <br /> Eli 0606 Report#7201 <br /> November E4,2011 <br />