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-/ 33o 22 P5-6 i _577_,2T 2 <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010676 <br /> DATE RECEIVED by EHD: October 26,2015 APPL#: PA-1500198 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2622 <br /> SUBDIV ISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Wed, November 11, 2015 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 10601 N SHELLY RD,LINDEN APN : 067rT <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: _ ��� 2J!,� 0- L O OJ 4/& Lg-f_--, 7LI/�C <br /> • !'L!r- !S �' /'•9ZEcze� ���slt�t�I6v7��k' fG f1G i �1/�zn✓6 L.�na Q% <br /> A6 n-/3 err,�J�it�sia.aPa i/�z f sI sc��r� sYs m 4 ras /arc z �liL <br /> Dag Illy 146 rsrtn n jl / <br /> oL .a cis u�3 a aJe�,.J n€,caz� <br /> F11 //-/// / Rtl &I Z�Z -Cly nl!/=G3 �127 'ri/ <br /> I recommend: Approval ©' Denial Continuance ❑ Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> i L a <br /> bTke 20 A45I�,t <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE,#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 <br /> October 21,2015 <br />