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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SL 0010083 <br /> DATE RECEIVED by EHD: May 29,2014 APPL#: PA-140009'7 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE: 2622 <br /> COMPLETE&SUBMIT BY: Tue, June 17, 2014 SUBDIVISON-MINOR(MS) <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 500 N JACK TONE RD, LINDEN APN : 10504015 <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 /> 1qr--�"� jaj!-;b -jo /f 7 <br /> 7-f <br /> f ! "ae344 d= <br /> -� ptsffW6. d::2jz;b'f-. Av /IG/zAZG <br /> k. <br /> I recommend: Approval ED Denial 1:1 Continuance 71 Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> i iGznj��ck�� <br /> A &---L IJI S 6% ,q-.►2Y77 b4 AE�5 /Z7 Aljf 1'3t f•�b4 ✓� <br /> c) 2 cv2 <br /> 6 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: k 2- <br /> �f <br /> OA Il Check Off List: Proofread Report? Correct LAND USE;1 7 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> May 29,201 <br /> EH 06 06 Report#7201 <br />