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i <br /> NOTE: PULL AL RMITS (Septic, Well, etc.) MAKE )PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006022 <br /> DATE RECEIVED by EHD: May 03,2006 APPL#: PA-0600229 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, May 16, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 13505 N WIMER RD, LINDEN APN : 06726004 <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 /> _ �`/G Lly�r�sii�/Ll?�JGL 7 C�_�.��f�C•Y-) C.i",/�l�j ��11G'� L� /cr_-t-- ��s/� <br /> en14g .4 <br /> I recommend: Approval Denial Continuance F� Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> U <br /> Q <br /> ii ' l C11a=is 4--o Ito — 4-0 rcco� C�'{i� "f �a�[Cl NCS / �'t�.'>�i�-t�c_t�e <br /> �r <br /> CJ l L)(O / r J v re c c d t<—� w— U 12 v c G� Cc l� / C @• h!�l Cw�-c eF� u anrJs��!ct vt C L: <br /> 22 /!J *0 /`e c c ,d n-JT v ��, e- <br /> 1 <br /> f ` y 3 a_ <br /> F 7701 <br /> cam, <br /> SUPERVISOR/LEAD SENIOR Approval: / L. — Date: (/ 0 6 <br /> EH 06 06 Report#7201 May 04,2006 <br />