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NOTE: PULL ALL- dRMITS (Septic, Well, etc.) MAKE SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0003954 <br /> DATE RECEIVED by EHD: February 15,2006 APPL#: PA-02458 TIME EX <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, March 7, 2006 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 19618 N TULLY RD, LOCKEFORD 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 /> ( recommend: Approval Denial Continuance F-1 Inspector: <br /> ivaervisor/Lead Senior COMMENTS Signature <br /> 2043 <br /> iUPERVISOR/LEAD SENIOR Approval: Date: Z Z d <br /> 1106 06 Report#7201 <br /> February 15,2006 <br />