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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORDED: SU0012066 <br /> DATE RECEIVED by EHD: November 16,2018 APPL#: PA-1700291 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL- <br /> V�1AL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Fri, November 23, 2018 g2Vldc. <br /> Assigned to : EE 488 WONG <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 ,,J Name of System <br /> SUMMARY OR COMMENTS: O LI fvt r �i <br /> ( ( S ILS CSS\ <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signatur <br /> Supervisor/Lead Senior COMMENTS: <br /> �o <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 131 106 06 Report 47201 November 19,2018 <br />