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NOTE: PULL ALL* ..RMITS (Septic, Well, etc.) MAKE ws?IES FOR FILE <br /> RECORD ID: SU0006418 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: January 30,2007 APPL#: PA-0500829 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Wed, February 7, 2007 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 16411 S VICTORY RD, OAKDALE APN : 22922030 <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 /> % O f zai-✓J-- <br /> Gc iG' <br /> I recommend: Approval Denial ❑ Continuance Inspec <br /> iypature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: L Date: <br /> EH 06 06 Report#7201 January 31,2007 <br />