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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013086 <br /> DATE RECEIVED by EHD: March 13,2020 APPL#: PA-1800056 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 TIME S%IEW5I ON <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, April 9, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 13480 E HWY 88 ,LOCKEFORD APN: 01902033,01905003 <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: 1,�� :U �y Q� (—Sip Public Sewer: 0 L4-v<0 az cv5-'D <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial ❑ 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 March 13,2020 <br />