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Od <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004908 <br /> DATE RECEIVED by EHD: March 15,2005 APPL#: PA-05-50 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 <br /> SURDWISON-MINOR(INS) <br /> COMPLETE&SUBMIT BY: Tue, April 5, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 333 S HEWITT RD, LINDEN APN : 18332017 <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 /> to /x3/lc:J' ZW4 rii/ � :f <br /> • / G Zai' 70�1i=A•+4i�/s5'cQ(t�2,./.rs to C4e�--�,4 a <br /> Ale ze—�G�-��Ilc.ISSL�[� 4�Ca��l.✓lcf3°6�. _. <br /> G• ) 22-'g277- 4) //•ri3 <br /> I recommend: Approval 0 Denial El Continuance ❑ Inspector: , <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check OH List: Proofread Report`? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 March 16.2005 <br />