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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009835 <br /> DATE RECEIVED by EHD: December 03,2013 APPL#: PA-1300201 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Fri, December 13, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 5950 E KETTLEMAN LN, LORI APN : 06103015 <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 P eyor Name of System <br /> SUMMARY OR COMMENTS: �z) S�G v�9T/. >S �� D�Swc�G-1y� ✓ <br /> �sri,ii / Ung. �ait lSYt� 6 ti <br /> /I.GY NYr <br /> rs'0'9- *W bmk . . . ob <br /> fo <br /> n ` <br /> r).— SL'. ag mj - <br /> 1 recommend: Approval � Denial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> FL <br /> (A') <br /> 6 .o <br /> IC., <br /> lez � GY <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II Check Off List: Proofread Report`•' Correct LAND USE#? <br /> Correct CONDIT[ON(S) . Logged in LAND USE Book? <br /> Ell 06 06 Report=7201 December 03.2 , <br />