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NOTE: PULL ALIS --RMITS (Septic, Well, etc.) MAKI _ SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007293 <br /> DATE RECEIVED by EHD: July 22,2008 APPL#: PA-0800215 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Tue, August 5, 2008 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5320 N TULLY RD, LINDEN APN : 09110007 <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 /> -;7�Vf� CfcZu�fc ft l�Jc?L /tS 15 ��-�l•✓7. ci'���r!.� � T�¢� 'rc X77 <br /> I recommend: Approval Denial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> L <br /> 47 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA Il Check Off List_ Proofread Report:' Correct LAND USE#? <br /> Correct CONDITION(S)? _ Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> ul. _ <br />