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NOTE: PULL AL4...dRMITS (Septic, Well, etc.) MAKE-..OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004681 <br /> DATE RECEIVED by EHD: October 21,2004 APPL#: PA-04-629 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, November 16, 2004 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14257 S STEINEGUL RD, OAKDALE APN : 20730014- 17 <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 />—�C-E,�//�J ' ifi�f��ls G��:�X��i��1�/Z��/��.s T-aC.Zlf!c �rTc.�,�,17✓Lc� <br />- Cyc <br /> I recommend: Approval 12/ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 03 .- 1 2Z - <br /> D -ol <br /> Sl;PERVISOR/LEAD SENIOR Approval: Date: J � <br /> OA it Check OK List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> FH 06 06 Report#7201 Parc 21 October 22,2004 <br />