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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010534 <br /> DATE RECEIVED by EHD: June 26,2015 APPL#: PA-1500102 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, July 21, 2015 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 13695 E HWY 26 , LINDEN APN : 09105015 <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 11&�, 6 <br /> c4,ZZr lfi�2 T1��ZC ii�'s <br /> .�Y�q- /:5, <br /> 7Zi��yr��U.47�.o s <br /> I recommend: Approval F7 Denial ❑ Continuance ❑ Inspect <br /> Signature <br /> Sinervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: z ZZ <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 29,201> <br />