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~� <br /> NOTE: PULL ALOL gRMITS (Septic, Well, etc.) MAKE PIES FORFILE <br /> LAND USE REPORT RECORD ID: SU000AMQ D <br /> DATE RECEIVED by EHD: April 03,2006 APDL#: PA-050072 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, April 12, 2006 <br /> Assigned to : EE0007379 ROERTIEN <br /> SITE ADDRESS: 920 W FREWERT RD, LATHROP APN: 19126022 <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: Public Sewer: N J <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: { <br /> LCLU -5 <br /> tz V i ov <br /> j 1- <br /> o <br /> I recommend: Approval n Denial Continuance Inspector: <br /> yam' ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Q <br /> O,�i 1!Check Off L istx Proofread Repbrt� - �n; Carrs AND USE#? <br /> t •`' Correct GONDITIOIV(S)7r ' - 4 �� r , « r x ;.u er ry r <br /> Lo ed-in, ? y ham. > <br /> � �' �l Y .....`GaOH%.-w - t-• f to" �'p..,Y..i '�S� ;.�'... d bP i Jn LAl��;"1.�7 Li'NA <br /> EH 06 06 Report#7201 <br /> April 04,2446 <br /> w <br />