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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE CdPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006246 <br /> DATE RECEIVED by EHD: September 12,2006 APPL#: PA-0400730 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Wed, September 27, 2006 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 16113 S VICTORY RD, OAKDALE APN : 22922028 <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 /> 14 104- <br /> Iry <br /> In- <br /> I recommend: Approval Denial Continuance Inspector.- <br /> Supervisor/Lead <br /> nspector.Supervisor/Lead Senior COMMENTS: <br /> ,� lf . 03a <br /> $ 1z of <br /> C II 05 <br /> SUPERVISOR/LEAD SENIOR Approval: (• Date: <br /> EH 06 06 Report#7201 September 13,2006 <br />