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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0011891 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: August 15,2018 APPL#: PA-1700291 <br /> 2631 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, August 21, 2018 Assigned to. EE0009488 WONG <br /> SITE ADDRESS: 21850 E LIBERTY RD, CLENIENTS Ip 2 APN : 02120024 <br /> In completing the Land Use investigation, draw all Public Health ctors 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 /> # � Ul � c, L. 5 SSS • <br /> — eftia VS. <br /> r a S: <br /> Par 1 A � PAI, 2 <br /> 2O04 �'A o40 3 3(M5 SS � 0 2 COy ��M C-NQS <br /> , 5ut-EE = N� ��rC ' P- � ��ow 12 tA -1 1 -�c �) <br /> P s6 2�-.% w N h 2 2: �F9�� <br /> 1- c, 4 s'd�., s u w to ee S 10 cuslvw r rt ► L <br /> I recommend: Approval Denial Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> G�ti �r-7�rz 1��l,Y�y3�o�8 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Coirect CON UITION(S)? Logged in LAND I <br /> E Book? <br /> EH 06 06 Report#720t August h.2018 <br />