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NOTE: PULL ALL PVRMITS (Septic, Well, etc.) MAKE CIMPIES FOR FILE <br /> ND USE REPORT RECORD ID: SU0006389 <br /> DATE RECEIVED by EHD: January 09,2007 APPL#: PA-0600577 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, January 30, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 16113 S VICTORY RD, OAKDALE APN : 22922028 <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 / d Name of System <br /> � <br /> SUMMARY OR COMMENTS: / 7'� r�s4 ✓tn/lC:✓csr�l/tX/N>1 <br /> -4Ti 06 y�y . � <br /> e- 6.nn� eG `jier B <br /> I recommend: Approval Denial Continuance Inspector- <br /> Supervisor/Lead Senior COMMENTS: <br /> IOL -ro aar-L ",4P 4Pr g!w--#L', ziV APDt_.JLoj" 7�a ZErz <br /> .SSS.g ��}+ �jt � -- 14 //nw AAAQ 1gPReJt&P Rt'' T/t� <br /> Put*u /it ar $i fa r6 ib .CST rwr- raer- df <br /> II : L (dt) <br /> ,F: -'!56)L su-'m8 w (,41, o , f1iLs Tr Ese/ A80W7 2fb <br /> At, jl C' SY. X44,—V ztx.e, LvfrfiirV llld �z�l✓� <br /> C � <br /> r � <br /> SUPERVISOR/LEAD SENIOR Approval: '? Date <br /> r" ""'``�"-- � I'mofread Report? � ^" '� � Coned LAND" SE <br /> OA91�Check Off List``^ V <br /> `Correct CONDIfIONkS)7 h c- •-,r �;;,,.;. Logged in [AND USF Book? <br /> iH 06 06 Report 87201 January 10,2007 <br />