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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011065 <br /> DATE RECEIVED by EHD: September 19,2016 APPL#: PA-1600214 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2690 <br /> AA////`����' /I�' �n`�1/ LOT LINE ADJUSTMENT(LA) <br /> C �Sp rBY: Fri, September 23, 2016 <br /> RUT.1ILIL....///// �,��, . Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 27775 N ELLIOTT RD, GALT APN : 00712022 <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 completie 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 /> lF1E S�lECcz/1�cs�S z5�411A'r� 6r gQ4;j�=V47Z Z'f". <br /> - /1JU GiiL� oL G/.cP l.��KKZi< lsSGlr� cz �Jc�/tn/l��E gym, --- <br /> ifl D6- T����1 � min c�✓sltz�Js zo l�y�= �/z��sq�,c.FZ�✓ <br /> I recommend: Approval Denial ❑ Continuance Inspector. <br /> Signature ' <br /> Supervisor/Lead Senior COMMENTS: <br /> l A bwW.A� <br /> oL <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: (c <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 September 21,2016 <br />