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E' NOTE: PULL ALCvERMITS (Septic, Well, etc.) MAKE-40P1ES FOR FILE <br /> LAND USE REPORT RECORD ID: S00007344 <br /> DATE RECEIVED by EHD: August 22,2008 APPL#: PA-0500857 TE <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, September 18, 2008 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 21850 E LIBERTY RD, CLEMENTS APN: 02120024 <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 /> I recommend: Approval F Denial El Continuance E-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 004 AT �� �� 20 c (n <br /> �LPLRA`ISOIZ / LEAD SENIOR Approval: Date: 7011 e� �- <br /> OAA.CheckOflList: proofread Report? - Correct LAND USE-#? - - - <br /> Correct CONDI C10N(S)'? - Lo6 ed in LAND USE 13ook? <br /> F 06 06 Report 47201 August 25,2008 <br />