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NOTE: PULL A&.�, ;ERMITS (Septic, Well, etc.) MAKE.APIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008760 <br /> DATE RECEIVED by EHD: May 20,2011 APPL#: PA-1100080 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> COMPLETE & SUBMIT BY: Tue, June 7, 2011 SITE APPROVAL-MINOR(SA) <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 19361 E HWY 26 , LINDEN APN: 09127033 <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 /> SUMMARY OR COMMENTS: <br /> Name of Purveyor Name of System <br /> I recommend: Approval Denial Continuance Inspector: <br /> Supervisor/Lead,Senior COMMENTS: Signature <br /> J , 0 oZ- <br /> SUPERVISOR/LEAD SENIOR Approval Date: g� <br /> EH 06 06 Report 47201 <br /> May 23,2011 <br />