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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012102 <br /> DATE RECEIVED by EHD: December 13,2018 APPL#: PA-1800320 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, December 14, 2018 Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 3500 S MOUNTAIN HOUSE PKWY, MOUNTAIN APN : 20906049,20906050 <br /> TIOUSE <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: Mtl45.D Public Sewer: ,Nf/esp <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /✓D O/' se,) A-- /-7lrM, t i1 pe. <br /> God` o G <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: (1 <br /> LQ <br /> v <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 13,2018 <br />