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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012081 <br /> DATE RECEIVED by EHD: November 30,2018 APPL#: PA-1800297 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: Fri, December 7, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 23650 E MILTON RD, LINDEN ?)f Q(It S �e �APN _N31,2017, 18, 19,24 <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 alta hed ie of 1 in a er, draw complete map of area showing population <br /> density, location of house, wind direction,?et ?� 2 I y Z 6 <br /> 'L3 LIDI� - zu n l j r —� F <br /> Public Water: /� y� �� c ewer: , H n{ 5 <br /> Name of Purveyor Name of System hF <br /> SUMMARY OR COMMENTS: N(7KrIn(I 0A Q 4nc I Kifil aprwii 6 <br /> L)✓-v N a v , <br /> I_ 'q-vat. b r' <br /> r)1AAA A c <br /> f 4vI L r <br /> ,S k � J` I I O <br /> /,:ts �/� I /Z04bFs�) P -0j)°4A7 <br /> I recommend: Approval Denial ElContinuance ❑ Inspector: <br /> S' nature <br /> SuRervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A If Check Off Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 30,2018 <br />