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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012632 <br /> DATE RECEIVED by EHD: November 04,2019 APPL#: PA-1900253 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, November 28, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 17335 N SUNRISE ST,VICTOR APN : 05139018 <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: S(}-0j �b� J vj f�T" wo p.�3 Public Sewer: At oN F <br /> Name of Purveyor pZS= q_t_a 'Z Name of System <br /> SUMMARY OR COMMENTS: �_A rsv� STiAT �S �Q�_'�ex wsu. w�c�s <br /> nJ ►� P l-t�—� M��� 4� " a-AnWIv <br /> �o' <br /> I recommend: Approval F-1 Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 04,2019 <br />