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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011260 <br /> DATE RECEIVED by EHD: March 03,2017 APPL#: PA-1700010 <br /> Referral Agency STAFF CONTACT: GIUSEPPE SANFILIPPO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, March 14, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18660 E TOBACCO RD, LINDEN APN : 10514018 <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: _ PlF?/Lt72J l/1/Z25(31&I;V- 1�Mr& <br /> 6*1517% ,3J : (_3/2a�13) <br /> Az'de'. s4/Ylc 4ef <br /> .f1fl79L" �1- SEI�ZCG S{!SZ�rI d- �.x7 LGQGc . <br /> ' /C,YJ /s�71. t� GltQ. /�sISlE i`4Sc��3 CE�/�E�[.✓Cc�� <br /> I recommend: Approval Denial Continuance Inspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> '6 Il,v 7 ( 0►� <br /> ;OZ <br /> -• d <br /> jJ <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 March 03,204'1 <br />