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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012705 <br /> DATE RECEIVED by EHD: December 16,2019 APPL#: PA-1900253 <br /> Referral Agency STAFF CONTAC`E GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, January 9, 2020 <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:�W S°Rb`" ' kv V.."ta4's Public Sewer: /V L)(yF <br /> r—e <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: f�� G 4 9 A tTrLj 0 F �Re=,F_ <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 he k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 17,2019 <br />