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LM <br /> ROTE: PULL ALL PERI hIrS (SEPTIC, WELL, ETC...) M7ME COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-102 (MS) <br /> EHD RECEIVED APP.REFERRAL: 3/23/04 COMPLETE & SUBMIT BY: 04-07-04 <br /> DATE DATE <br /> ATTN: JOSE RUBTANES <br /> SITE ADDRESS: 17777 EAST LIBERTY ROAD, GALT <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: �6 <br /> SUMMARY OR COMMENTS: <br /> 0% <br /> as oa <br /> aa:CX- <br /> I recommend: Approval Denial Continuance Inspector's SignaL e <br /> Supervisor/Lead Senior Comments: <br /> Vw <br /> viv <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 169 OA II CHECK OFF LIST: Proq/rend report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE BOOK? <br />