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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009066 <br /> DATE RECEIVED by EHD: February 21,2012 APPL#: PA-1200028 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: r <br /> _ Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 23501 E FRAZIER RD,LINDEN APN : 06705002 <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: __ ��� � � , ��,� G✓�-rc� <br /> f�1c =tom ova3 e" #y<gxf5""-ate Zrr <br /> ,mob &,dg-L « "e�P <br /> t recommend: Approval E�r Denial El Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Appr al: Date: Z <br /> OA it Check Off List: Proofread Repo Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 February 21,2012 <br />