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NOTE: PULL ALLY. .AMITS (Septic, well, etc.) MAKE ' <br /> _,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005931 <br /> DATE RECEIVED by EHD: February 21,2006 APPL#: PA-0600067 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE: 2622 <br /> SUBDIVISON-MINOR(MS)COMPLETE&SUBMIT BY: Tue, March 7, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 28251 E HWY 26 , LINDEN APN : 06723001 <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 /> ,_ — <br /> I recommend: Approval Denial ContinuanceEl Inspecto <br /> Supervisor/Lead Senior COMMENTS: t}�,r-� � �,(} <br /> W ri Signature <br /> Ox <br /> �-2 <br /> 63 61) <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> MANE", <br /> � �lG $ � �r�, � x _ <br /> � orrec�CQ I)ITi�S S � � AR Q-- <br /> EH 06 06 Report N7201 February 22,2006 <br />