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NOTE: PULL ALIS?RMITS (Septic, Well, etc.) MAKE SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500005654 <br /> DATE RECEIVED by EHD: September 27,2005 APPL#: PA-0500621 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, October,5, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 30331 E LONE TREE RD, OAKDALE APN : <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 /> •-Liiry L�c3./lc3�� .UD�Zn1/-I5 ct/i`z<� <br /> 41Af i> cam dZ216. zasz- <br /> /2�C�s�7[3vD.>-�cafS • .4 //`yb� � ZL`� G� e/` �3 ,�) ZZ�` o/ <br /> I recommend: ApprovallkiDenial ContinuanceEl <br /> Inspector:- 11 <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> O lI <br /> A <br /> 2 -z rc , <br /> G �l � p <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> oAHIGheckfu V <br /> e '5P- <br /> EH 06 06 Report#7201 September 28,2005 <br />