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rll� <br /> _. NOTE; PULL ALL,ERMITS (Septic, Well, etc,) MAKE {.PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008551 <br /> DATE RECEIVED by EHD: December 17,2010 APPL#: PA-1000281 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> " Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 6161 E HARNEY ft,`L I APN : 06113106 09 10 <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: S ' �` t� sc��— 6 <br /> AN 061-151-11 <br /> .1 recommend: Approval Denial ❑ Continuance ❑ Inspeagri Q e <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> Cxg w 0 _ <br /> tu. cwt D <br /> Dfol � I -11LJ <br /> � t <br /> SUPERVISOR/LEAD SENIOR Approval: Date: U <br /> ' '1aCfr� � OIC a g .- a <br /> OA if"GheCk Off List , a01-1 <br /> M ., p€ ' � C;nrreGtLAI3E# y : <br /> Correct'CONI7TT I N71 <br /> e �- y <br /> .. } B ' °I <br /> EH 06 06 Report#7201 December 20,2010 <br />