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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500011127 <br /> DATE RECEIVED by EHD: November 18,2016 APPL#: PA-1600261 <br /> Referral Agency STAFF CONTACT: EVAN WATSON PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, December 6, 2076 <br /> 412-1112101 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 12023 E BANDT RD, LOCKEFORD APN : 05132008 <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 populatiol <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: r/fir1 7 : L7f�C CG�lG H .�bf L/cQ. LrsFSZE f1)!/T <br /> • � h�i< /S T .3C1�GaZ�7.tt//�wrtr�3�G�J ,42s�+it/7,fr �7��'7y <br /> !/lam S/7� �✓T�bizs .�n/Ere�s«.t,'� /!�3/!�/9z S9'7ee- Sll�m .�,!�/�7.G 1.1:9.��) <br /> ;;&,JA[ e4A-7A-fk- i 2-i) eeAIL- 7' 7/!i A4Er,/ e2:37/137i-o LL14-7el4il�er 3teQ <br /> GUl�J/ 7ifr E1Cis'Iif�. �---`tel<G SYsZ� l3aci�1s12 za.rtc t� -Yrr �,.,, -rel.Fcz-z� c.L �us�kcw-r <br /> A 1� z-4ue,s re <br /> eaI recommend: Approval D Denial Continuance El Inspecto <br /> Signature <br /> Super <br /> vi i MENTS <br /> 04- <br /> A-) 11=0'1 <br /> RIS 7- - 02 a - 155fJf "r'- rh 13P <br /> �(- TAa ih �t� R� 1J(IAfUF� /aiCm lL�1Jf <br /> 12) <br /> S� C <br /> 1G): 7 7oV� <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A II Check Off Ust, Proofread Report? Correct LAND USE tl? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report B7201 November 21.: <br />