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y t• � <br /> NOTE: PULL ALLi'P'0-RMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID- SU0008548 <br /> DATE RECEIVED by EHD: December 17,2010 APPL#: PA-1000279 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE: 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, January 4, 2011 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18600 E FRAZIER RD, LINDEN APN : 06515002 04 <br /> [n 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: 9 <br /> ZZ <br /> 7 ,; <br /> j 2� ".•? " <br /> .. <br /> [ recommend: Approval Denial Continuance Inspector:. <br /> Supervisor/Lead Senior COMMENTS; ignature <br /> b ,oz <br /> A) HAt(b. <br /> molL <br /> SUPERVISOR/LEAD SENIOR Approval: Date: �� t <br /> OA!t Check Off I:rst � roafreadAepo _ gcectD USE t#? .. r. <br /> �+'.<...'�:'�..?ss< `�I: . c .x°¢�QI7•eG�CONDlT10.N(5)7 �� `�`:.,� .i �L6�,ed � ���� ' � e ;p.'�? <br /> .w <br /> EH 06 06 Report 47201 <br /> December 20,2010 <br /> f <br />