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NOTE: PULL AL�,_,ERMITS (Septic, Well, etc.) MAKL__,JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005093 , <br /> DATE RECEIVED by EHD: June 15,2005 APPL#: PA-OS <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 265 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Tue, June 14, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 22800 E MILTON RD, LINDEN APN : 09312013 <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 /> I recommend: ApprovalEJ Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: — Dater <br /> EH 06 06 Report X7201 June 15,2005 <br />