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- —- - <br /> NOTE: PULL ALL i RMITS (Septic, Well, etc.) MAKE %._,,,IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005922 <br /> DATE RECEIVED by EHD: February 2l,2006 APPL##: PA-0600078 <br /> Referral Agency STAFF CONTACT: 'ANTONIO SALCEDO PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> Assigned to ; EE0005944 ESCOTTO <br /> SITE ADDRESS: E FRENCH CA Q , A A APN : 20612022 <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: i <br /> I recommend: ApprovalDenial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: d <br /> �O!f.�`` is1 <br /> }l'rf <br /> e porn cNDLkS _ <br /> C rie t CDiiOO <br /> g_ <br /> EH 06 06 Report#7201 February 22,2006 <br />