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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORDED: SU0011166 <br /> DATE RECEIVED by EHD: December 27,2016 APPL#: PA-1600287 <br /> ReferralWa199Z <br /> FCT: ALISA GOULART PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> CBY: Fri, December 30, 2016 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 25062 E ARTHUR, ES A16N APN : 22502049 <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 Pury yor Name of System <br /> SUMMARY OR COMMENTS: <br /> ���r/�� <br /> I recommend: ApprovalKj— El <br /> Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II heckOff List,• Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 27,2016 <br />