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PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND U RECORD ID: SU0009385 <br /> 1:I V F D by EHD: October 25,2012 APPL#: PA-1200202 <br /> Referr: : .\F: CONTACT: RICK GRIFFIN VE : 2690 <br /> R- <br /> ��. LOT LINE ADJUSTMENT(LA) <br /> < I: RtiU611IT BY: 'rJ <br /> w <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE: _:;, R <br /> 0 N JACK TONE D, ACAMPO APN : 02105008 24 <br /> [n compi c investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies. rssary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, lid direction, etc.... <br /> Public D. Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMM IS: — -ie� Qe�i�z✓ �,4d/ s= ,�� z>; �- �id f�-JL1R -its —l�i/rz< <br /> LArzi, `- -SOZ 7�=c Ll•/� Lt^/(.bla] C�6f-s 4�it�'L< Cti$�-�/aw.✓vi.-n i 7H tel- .4- <br /> �'e='2,/�J CCn�!<7EJ�tL'L5�GJ�CJL4?sn,�E• C�r4 <br /> [ recomr N Denial Continuance Inspecto . <br /> SuDgrvi Signature <br /> 9 <br /> SUPERV? peroral: — Date: <br /> Tr <br /> `O ;rc�d I2 po t' Co[rect LAND USE,- <br /> ecdinLANDUSE,Book`?? <br /> EH 06 061— <br /> ' October 29,2011 <br />