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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011228 <br /> DATE RECEIVED by EHD: February 17,2017 APPL#: PA-1700012 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, February 28, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 19259 E HWY 26 , LINDEN APN : 09127040 <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 /> TN srd� CaS�s oJ7/ oc <br /> 4129 �2C C� L/T Le ft�r KS[y� ! C2ae' tni L.�ZE.ro7cT <br /> Al Z'9:Cxl <br /> R) Ae) d5 <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 17,2017 <br />