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NOTE: PULL ALL : MITS (Septic, Well, etc.) MAKE AIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006154 <br /> DATE RECEIVED by EHD: August 01,2006 APPL#: PA-0600380 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE: 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Tue, August 22, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 19259 E HWY 26 ,LINDEN APN : 09127034 <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 /> -��/!.�: Q� ll.�lL��,)s�11/�1L�95 �'�.CGL�3 .c�/t►'�J �f� f-t-ZE-� <br /> A2 /e2o* GAn�4� er--441-13C,061s 25�- zr4� . f9?46-- <br /> • ��c �.�rt«r zr-��.� �s .�r/,g��3e�;•„ed�.�et,� s�s�.� � <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> A 2D :v5 <br /> WPERVISOR/ LEAD SENIOR Approval: Datc: <br /> OA 11 Check OS List: Proofread Report? Correct LAND USE#? <br /> Correct CONDiTION(S)? Logged in LAND USE Book? <br /> ;H 06 06 Report P7201 August 01,2006 <br />