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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009116 <br /> DATE RECEIVED by EHD: March 26,2012 APPL#: PA-1200044 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ASARBY <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: <br /> 1i�e2", 0-1 <br /> ' .IXJ � CIL L<c� !s-1'S7E'/ <1/ �l�k.+FJZ�✓ ��.�,�j—'? <br /> /�EaCdl'h'.�3y1]47cc�ls . <br /> /.I161,- 72W e– /- /.GK <Lr7 �(�1�Icc✓s �//Jl� .��:✓rH.L. ��Gf7cJ <br /> I recommend: ApprovalEJ Denial Continuance Inspector. �. <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> C+ -Ajo <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: 17 Z`i- / 2— <br /> OA (I Check Off List: Proofread Report? Correct LAND USE#9 <br /> COp'ect CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 March 26,2012 <br />