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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010286 <br /> DATE RECEIVED by EHD: November 03,2014 APPL#: PA-1400154 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2691 <br /> GP AMENDMENT 10+acres(GP) <br /> COMPLETE& SUBMIT BY: Wed, November 12, 2014 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 12215 E LOCKE RD, LOCKEFORD APN : 05129013 25 <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 Denial F-1Continuance Inspector: - <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> -214.L- eltb G Uva' "fD IW14� I /ylM <br /> fit. G�'r ►� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 2-1114 <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 04,2014 <br />