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NOTE: PULL ALL PERMAK(SEPTIC, WELL, ETC...) MARE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-03-648 LA <br /> SU0004727 PE 2690 <br /> EHD RECEIVED APP.REFERRAL: «nand COMPLETE & SUBMIT BY: ***ASAP—B Y I2/O6/O4 <br /> DATE DATE <br /> ATTN: RICK GRIFFIN <br /> SITE ADDRESS: 22800 EAST MILTON ROAD, LINDEN <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> <,✓7.�i5P^T37T�!�-ucu.r.�+-Tz.���t��-sff�� �.-��J,.zris.�ro.f��a: <br /> -' �6�L /�n�c✓1�vF4?� irJT<l�.�z<f�.�f7�i��•�7�7�Ic3klsE�-.�c 4' <br /> LGi�i3ZG/ZCs�6�1.:� LIwO <br /> — /�7L-I'YH�✓df1� <br /> I recommend: Approval Denial Continuance Inspector's Signatu <br /> A**�*r*�*e�**rrrrrArr*r*•e«*,t�*arrAaaa�A�:Ff���r�*Ar**��rrrr��*rr«*r�*��**�I<r*�**>Fr*r**>Fr*� <br /> Supervisor/Lead /Senior Comments: <br /> H - a�oZ SDs (tQ Qd iLtts4 ��C�'w/ y�c�uu� <br /> SUPERVISOR/LEAD SENIOR APPROVAL: l 7 <br /> EH 0606 Rev 1/99 11 OA U CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE BOOK? <br />