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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009576 <br /> DATE RECEIVED by EHD: March 15,2013 APPL//: PA-1300038 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2690 <br /> 04 1 P4 LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 17754 N HWY 88 , LOCKEFORD APN : 05125010 <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: _��� ryJ LlllLlU Glc/ 721?�z5 <br /> �- <br /> /',42E�� Efl G�J�.n.✓e� ,.�-v t�z'�e���zae°�� trfty-F ��rir s�5-a�� t z� <br /> el- /.mac/SS[/� (2 ,A .cozc� <br /> — /2Gra�'yhr7�lG;�'7u(� <br /> I recommend: Approval 1z Denial Continuance ElSignatureSignature <br /> Supervisor/Lead Senior COMMENTS: <br /> —�Jr-"—� � Y''�•`^J l7ovwK t'tL 1„)h,��( _� "V' ��r ul � S��t �L Tsr.S��ytt <br /> 1 I aaT <br /> SUPERVISOR/LEAD SENIOR Approval• ' Date: 3 Z <br /> it Che l7f11is1 Proakt lfi �C of L USE Y <br /> �? ---� — .�� : a Laggatl in b.A3D U$ Bo <br /> OA ec <br /> o? <br /> EH 06 06 Repon#7201 March I8.201: <br />