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. F T <br /> NOTE: PULL ALL�.,..,d'RMITS (Septic, Well, etc.) MAKE c.-PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006465 <br /> DATE RECEIVED by EHD: March 05,2007 APPL#: PA-0700080 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Tue, March 20, 2007 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 500 N JACKTONE RD,LINDEN APN: 10504015 <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: 01 A Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /,7 r,oY rzGa� zlrw7�w- o w�� <br /> y <br /> j CJ Z #. 1 lnwt Wr S ` 1.l.��f�ur A •��3s .fir y. -r J:;O'n' ell� ',e.n e Z <br /> ` 0`7 <br /> *7-4,L5 &.+'-A n v ,,-.l <br /> e � • , "'a'f! h, Yr r�ts�lt a# <br /> r <br /> /91,01 64," ' - <br /> I <br /> 4,"I recommends Approval Denial Continuance Inspector: - - <br /> Signature <br /> Sa ervisor/Lead Senior COMMENTS: <br /> IaUdL T2 . II f <br /> I <br /> V '? AL <br /> f ZU 7' Ie <br /> (' W 1 .1 1 - t2� 'r; —I//S'. <br /> C•C,- R IhA, 21- 160 $ T7� <br /> --t A <br /> SUPERVISOR/LEAD SENIOR Approval: 1 Date: <br /> Oro 1'Ch Off Lfst Proafrgac�R o �r e <br /> " x {orreiGONII) �� spadjt1" AN]� Bd{57cH r 31 <br /> 4!2% <br /> ;H 06 06 Report#7201 March.05,2007 <br /> i <br />