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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011265 <br /> DATE RECEIVED by EHD: March 10,2017 APPL#: PA-06000064 <br /> Referral Agency STAFF CONTACT: GIUSEPPE SANFILIPPO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, April 4, 2017 T-1"c ��S`W✓1 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18721 E FRONT ST,LINDEN APN: 09121024 <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: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> f}'J G5— L3�.L Cd✓J/ZLh.K 4�i94�/La�Q��y7�C�Car,.aae�'t tiii�i�f�S -sZa-Z� ��y ��.�� <br /> jrAX "V -7&1 t001 <br /> I recommend: Approval Denial Continuance ❑ Inspector <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 h k ff Lis : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 March 10,2017 <br />