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NOTE: F.JLL ALL PRMITS (Septic, Weil, etc.) MAKE 4106PIES FOR FIL€ <br /> LAND USE REPORT RECORD ID: S00006633 1 <br /> DATE RECEIVED by EHD: July 17,2007 APPL#: PA-0700316 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, August 7, 2007 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 14404 E HWY 26 , LINDEN APN : 10502004 05 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, wat , <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: IPublic Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> G <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> o G <br /> �x 200oL <br /> 0 �y m ftp <br /> 0 L <br /> SUPERVISOR/LEAD SENIOR Approval: <br />�CIA 11 Check Off List: 'Proofread Report?_ Coriect LAND <br />