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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0003429 <br /> DATE RECEIVED by EHD: April 20,2004 APPL#: PA-04-192 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE&SUBMIT BY: Wed, April 28, 2004 Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 27300 N SOWLES RD, GALT APN : 00712005 <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: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> �O <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 April 22,2004 <br />