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NOTE: PULL ALLY sRMITS (Septic, Well, etc.) MAK6.�,1PIES FOR FILE <br /> LAND USE REPORT .II <br /> RECORD ID: SU0007101 <br /> DATE RECEIVED by EHD: March 31,2048 ADPL##: PA-0800 1 PRE-AP pre-,Applica <br /> Referral Agency STAT F CONTACT: PATRICK CROSBY <br /> PE : 2622 Q <br /> COMPLETE& SUBMIT$Y: p s SUBDIN71SON- .ZINOEt(AIS) <br /> Wed April 200$ <br /> ST Assigned to : EE0007379 I3pERTIEI <br /> SITE ADDRESS: 407 S DEL MAR AVE <br /> OCKTQN APN : 1590'5510 <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 cornplete map of area showin population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Alt ^ to r; Public Sewer: <br /> IV Name of Purveyor -s <br /> SUMMARY OR COMMENTS: Name of System <br /> i ' IF- <br /> l ( �. <br /> �i <br /> I reeotnmencl: Approval ® Denial Continuance Inspector: <br /> Sapervicor/Lead Senior COMMENTS: Signature <br /> .10 <br /> I: <br /> O b <br /> i <br /> .0 <br /> �I. <br /> SUPERVISOR I LEAD SENIOR Approval <br /> Date <br /> d 11Cfid-6k Off Lr t. Prao read Rpqi <br /> � t I AIL USE:#7 <br /> l W I ogged NI tS BoolCh .. . <br /> EH 06 06 Report#7201 SII <br /> March 3l,200$ <br /> _ �11 <br />