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- ° <br />/tAND <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE Cg ES FOR FILE <br /> USE REPORT RECORD ID: SU0005706 <br /> DATE RECEIVED by EHD: October 18,2005 APPL##: PA-040074(REV) <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE & SUBMIT BY: Tue, November 1, 2005 t . M <br /> SITE ADDRESS: 26850 N LOWER SACRAMENTO RD, GAL <br /> In corn letin � °" <br /> p g the Lana d Use investigation, draw all Public Health factor / /(0 <br /> 0-4 <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, c <br /> density, location of house, wind direction, etc.... <br /> r 7 <br /> Public Water: �yc� -� P blic Sew I. 3 I`�f � 9 r r <br /> Name of Purveyor�� <br /> SUMMARY OR COMMENTS: j f <br /> g /4 <br /> I recommend: Approv Denial 11 Continuance aspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: ate: 1 <br /> OA I!Check Off tTst: Proofread Rpt /correct OASE#? <br /> Correct CONDI'T'ION($)?. Logged in LAi3I]USE Boots? <br /> EH 06 06 Report#7201 October 19,2005 <br />