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NOTE: PULL ALL V RMITS (Septic, Well, etc.) MAKE ti,JIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006802 <br /> DATE RECEIVED by EHD: October 23,2007 APPL h: PA-0700470 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, November 6, 2007 ('t', <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 23400 E MILTON RD, LINDEN APN : 09312006 <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: N/n Public Sewer: h <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> fl -moi. <br /> I recommend: Approval Denial Continuance Inspector: <br /> ✓2 <br /> T Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 6, <br /> 4 ) // - // 6L-) <br /> SP 52C) 1 ? 5,A 2- i <br /> e 6,64 S L4!- �CP <br /> t I DrUrz f n co%r �.�rf. ��I- sol izv <br /> Zo © : o2 <br /> D � r : ol <br /> SUPERN'ISOR , LEAD SENIOR Approval: / �� � r — Date <br /> OA 11 Check Off List Proofread Report? _ Correct LAND USE)I ? <br /> Correct CONTDITION(S)? Lugeed in LAND USE Book? <br />