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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013012 <br /> DATE RECEIVED by EHD: January 31,2020 APPL#: PA-2000007 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2637 <br /> SPECIAL PURPOSE PLAN(PP) <br /> COMPLETE&SUBMIT BY: Thu, February 27, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 12470 E LOCKE RD, LOCKEFORD APN : 05132012 <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: N�t Public Sewer: N <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: klz"j, <br /> ,0�HS 1aCPP?TkA"J) TN " >lfl21WwS <br /> SFiyJAc,�� �- WLL4m <br /> �oQ,s•I.�c.Q. uS+r. V� ^ �� (.,AS &A 02- O'k 61 1 1 84 -+ AEett.ou1--_o itigti <br /> T.nl i L-1 i FiQ TOR .— <br /> �� O KA 64 e f tp;f ) <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 03,2020 <br />