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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LANO'USE REPORT RECORD ID: SU0009748 <br /> DATE RECEIVED by EBD: August 30,2013 APPL#: PA-13143 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS- 21998 E MILTON RD, LINDEN APN : 09304038,54&66 <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: ,�j1L�.��l OiC. �J/ vim C�t2 �1 l/% lcsE4�idl17� <br /> Z�#/ fr#3 C�7c,15/Sz� �li2E��CFc� <br /> A47��z 17�Z ce t'�" 2F'o AZO57, fps/ /uzedd g lm� 'i fid: z.c- <br /> Nkk;virui '—'r <br /> - ,UD Lrf1L� L/�.G�t3�/d,�c�C>1 'cavi=Xi✓LuLIs ,c�tE�. <br /> I recommend: ApprovalDenial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> iy <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 September 04,201 P <br />