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MOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0005324 <br /> LAND USE REPORT <br /> APPL#: PA-4500548 <br /> DATE RECEIVED by E141):E141): August 18,2005 <br /> PE : 2690 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN _ t. 130 19M LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Assigned to EE0004000 VAN DYNE <br /> fa�� <br /> SITE ADDRESS: 23323 S MOUNTAIN HOUSE PKWY,MOUNTAIN <br /> APN : 20908003 &02 <br /> rmusE <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: A(!q <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> .a <br /> / D <br /> I recommend: Approval Denial Continuance Inspector: g <br /> v' Signature u <br /> Supervisor/Lead Senior COMMENTS: <br /> orf <br /> SUPERVISOR/ LEAD SENIOR Approval: <br /> , :. - ._ � orrect L:AhiD U .ID~ <br /> Proofread Report k�, _, B <br /> OA it Check Off List: C <br /> ,... ` ; r7 4.Logged tri LAN1J USE Books a <br /> r>;. <br /> Correct CONDITTON(S)2 a „ .,,;?R <br /> August 19,2005 <br /> EF106 06 Report#7201 <br />