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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010887 <br /> DATE RECEIVED by EHD: May 02,2016 APPL#: PA-1600010 <br /> Referral Aggnc STAFF CONTACT: MEGAN E AGUIRRE PE : 2690 <br /> LOT <br /> //`/,t,�L� LOT LINE ADJUSTMENT(LA) <br /> CO Sflloll VY: Fri, May 6, 2076 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 11288 S MCKINLEY AVE,FRENCH CAMP APN : 19332020 <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: �� rise �� <br /> Lr _ - w IsO. tYLo ' <br /> �j/,/� ® E /tr�rrJ <br /> OL <br /> I recommend: Approval ® Denial El Continuance Inspector <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> r <br /> SUPF,RVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND LJSE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 May 02,2016 <br />