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f <br /> NOTE: PULL AL"I-RMITS (Septic, Well, etc.) MAK"PIES FOR FILE <br /> LAND USE REPORT _ RECORD ID <br /> SU0006500 <br /> DATE RECEIVED by EHD: April 03,2007 APPL#: PA-0700090 <br /> Referral Agency STAFF CONTACT: JA ON JONES PE : 2690 II <br /> LOT LANE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: AtAF—br <br /> Assigned to: EE0007379 BOERTIEN <br /> SITE ADDRESS: 15799 E HWY 26 , LINDEN APN : 09107016 05 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: 1,0 A <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ; S <br /> I <br /> I recommend: Approval Denial Continuance Inspector:__ <br /> ,Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> - - --- -- <br /> SUPERVISOR I LEAD SENIOR Approval: Date: 4 a <br /> OA H Check Off List: Proofread Report? Correct L USE W9 . <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br />