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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009808 <br /> DATE RECEIVED by EHD: October 25,2013 APPL#: PA-1300176 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, November 19, 2013 <br /> Assigned to: EF0005944 ESCOTTO <br /> SITE ADDRESS: 19625 N SOUTHWORTH RD, WALLACE APN : 02326001 <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: J ' xV <br /> A/.r2/tZ#/ �a.SiSZr�J �i1t�/C!-' e�l.•I�st.� Gin.d L Jrfi� 7��(]��iG�i1`1r3J t�/11trJl��z <br /> c�iyh.-/L`77 s} TLE�S✓JL�-+t/C'E lcJr�l if 5E�7f� SYS�++� ./f /�C/�(I�tE71bt'�.�'�r� tt-+�'7c2 svxtc�►� <br /> AC�.w.i� 1.rr Lc.t�cs 6 /341.�/s �s /..s•��ZNr L���trt•�y�lfE 0-s. <br /> Ce./S�S7i.J6 Lzc Ca/1.Ra�'.✓� L� <br /> - /7?cco4Pn6%bA—� 41 14111/ j 8)l eI 2�W:69� A) 2-Z"e , )14, A7.7z_o/ <br /> I recommend: Approval © Denial ❑ Continuance El Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> C M. V'1 S <br /> D� <br /> w cr-C 30 6 <br /> 13•.bT t,/al,l l-�'i� {=os D6G� E N1�S .Drrur ✓-D t<tori'sc�L� _ <br /> �/ t \ • V 3�4> <br /> C1 2Z ul Gatts\rrcL.A- t'>9w,tAS\ t L„1 rrvti IJcutLa 1F <br /> SUPERVISOR/LEAD SENIOR Approval: _ Date: t Z 1 <br /> OA 11 Che k ff List: Proofread Report? Correct LAND USE it'? <br /> Correct C0NDrri0N(S)•? Logged in LAND USE Book? <br /> III wbbR,pm1%T-U1 October 28,2013 <br /> L <br />