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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008888 <br /> DATE RECEIVED by EHD: September 08,2011 APPL#: PA-1100161 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2690 <br /> �-n� / <br /> COMPLETE & SUBMIT BY: LOT LINE ADJUSTMENT(LA) <br /> �Ll7_�i/^� <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 22000 E FRAZIER RD, LINDEN APN : 06523003 07 <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 or System <br /> SUMMARY OR COMMENTS, <br /> z� j /31z. <br /> ' �!r_�.�rt ,�kv�/� Ct-�?C l%�:'f��71-EZ �/ t}s�i>� !31 �, fr ilk ��'7�s�Jc�✓/z?J2r <br /> �� f'a�cc�s `�/ z 3 r• �c�s��✓<.icy fie- v �, <br /> �fl fG'Y131.4-f5- /L%<;y b/za'S <C> <br /> 1 recommend: Approval 5 Denial Continuance Inspector:4&e , <br /> Supervisor/Lead Senior COMMENTS, Signature <br /> \\ n� <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: !-•Z <br /> OA 11 Check Off List: ProoGead Report? Correct LAND USE 4 ? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> -II lu;uh k�pon ur7.nl <br /> ticpir+iiha �, ".ill <br />