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NOTE: PULL ALL-PERMITS (Septic, Well, etc.) MAKE C-PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008618 <br /> DATE RECEIVED by EHD: February 04,2011 APPL##: PA-1000218 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE & SUBMIT BY: Fri, February 4, 2011 - <br /> Assigned to: EE0005944 E5COTT0 <br /> SITE ADDRESS: 16713 E LIBERTY RD, GALT APN : 00907001 <br /> [n 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 /> l recommend: Approval 2 Denial F� Continuance F-1 Inspector• <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I <br /> SUPERVISOR 1 LEAD SENIOR Approval: q Date: <br /> n; "i2st 3'v9 .;.r.._I`6 'E'3d .a.'�. .�`+i,..g�. r 1, <br /> _11, �.wt,`�,s;;Y�!,/.. E��ft.3�� .»�z y'...' av g , ��;.���'r..`.� .�¢.'v:a�s <br /> c114.fl.4eClR <br /> ,0,#. 1"n- <br /> - <br /> �B b•.c ca:,,°r <br /> r.. ;.� <br /> ".� +v ... .�.,f. ;'L.,§.•,..� '$-; ,.PRO;?'�� I�:"" L1 .:Y <br /> ,... >. ¢. r. # 8r , <br /> EH 06 06 Report#7201 February 08,2011 <br />