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114 <br /> NOTE: PULL AL�_,;•, -"ERMITS (Septic, Well, etc.) MAKE,., PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008436 <br /> DATE RECEIVED by EHD: September 08,2010 APPL 9: PA-1000185 <br /> Referral Agency STAFF CONTACT: JOHN F'UNDERBURG PE : 2690 <br /> P.13 LOT LINE ADJUSTMENT(LA)COMPLETE& SUBMIT BY: <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 15289 E HWY 88 , LOCKEFORD APN : 01912020,21 <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: GZia. <br /> [ recommend: ,Approval Denial El Continuance El Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r7� <br /> SUPERVISOR/LEAD SENIOR Approval <br /> 0411 check Dff L°tst3 ofreaepsirt i a"°,. Fy y D <br /> ... .. ' �r'.' �'I'Ct�t.�.r�� ate <br /> 'W <br /> a <br /> RUN,01Mw <br /> EH 06 06 Report#7201 <br /> September 08,2010 <br />