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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010124 <br /> DATE RECEIVED by EHD: June 27,2014 APPL#: PA-1400097 RE <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE: 2622 <br /> SUBDIV ISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, July 22, 2014 <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 /> 1 /25— AL,/ OJ& e a„(c e�C Agllggr At zdd-td 4 6="rL Z57) 4 r .ate <br /> I recommend: Approval Denial. El Continuance ❑ Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> eVIN S ZD <br /> St'PERVISOR! LEAD SENIOR Approval: /49-ro—L Date: -7 � 2 14 <br /> OA it Check Off List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S).) Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 03,2014 <br />