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NOTE; PULL A! RMITS (Septic, Well, etc.) MA PIES FOR FILE <br /> LAND USE REPORT RECO ID: SU0007b24 <br /> DATE RECEIVED by EHD: March 06,2009 APPL#: PA-0900014 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2690 <br /> COMPLETE& SUBMIT BY: <br /> LOT LINE ADJUSTMENT(LA) <br /> � <br /> Assigned to : -EE099 <br /> SITE ADDRESS: 18915 E FRONT ST, LINDEN N APN: 09125046 <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 COMMENT';-- , <br /> I recommend: Approval Denial /❑ Continuance Inspecto . <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> J <br /> SUPERVISOR/LEAD SENIOR Approval <br /> ' Da <br /> ©A 17 ChOcfr Cuff Llst too fread Rcpbrt% r . <br /> ; � C�rrecct T AND L3S) 1 «. <br /> a'Lo _ <br /> g� an L1TD ifSEook2 ' <br /> EH 06 06 Report 47201 <br /> March 09,2009 <br />