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S k <br /> r <br /> NOTE: PULL ALL PERMITS (Septic,,Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004554 <br /> DATE RECEIVED by EHD: July 13,2004 APPL#: MS-01-17 rl m'e- <br /> Referral Agency STAFF CONTACT: CHANDLER MARTIN PE : 2622 J <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, August 3, 2004 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 6255 N TULLY RD, LINDEN APN : 09103014 <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 ❑ Denim F-1 Continuance F� Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 1 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA I1 Check Off List = ......read Repork� : x, Correct LAND USE##? <br /> Correct CONDITION Logged in LAND USE`Sook? .:..::... , <br /> EH 06 06 Report#7201 Page 1 July 16,2004 <br />