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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009205 ... Q 21 o <br /> DATE RECEIVED by EHD: May 25,2012 APPL#: PA-1200076 ti g <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, June 1, 2012 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 1001 E JAHANT RD,ACAMPO APN: 00314003;00315008 <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: _�1'e7 ZZaaN I A- !JJ / js7F,�7Zn//7S <br /> ' /�-/Z- }�=f�41C�z5 Lc��'b.✓�.�.�y.�/L2� � .9c, [� � <br /> • /�-lL- = it � �tTzfi,��c.�.�� L�/1ns7�rXriiitam i�.rv��.dr� //s.ct��+-vis r.-s�4u^ <br /> /�7Z'��P�1- f�lE't2-s �0.�5/SY�JCL�i'/� w+sy»/GFi L�icG7 <br /> I recommend: Approval © Denial Continuance Inspector. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date <br /> OA 11 Check Off List: Proofread Report'? Correct LAND USE ft ? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 0606 Report#7201 .viral _�i ,iii; <br />