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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009205 N a 2i o <br /> DATE RECEIVED by EHD: May 25,2012 APPL#: PA-1200076 .. <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,ACAMIPO 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: _ '/ / 7/ <br /> ' f%f-!1_ �� = pi�L.cc�_��,..Lrn.�c.�4-�ii.ct�!-y•/lY�z�?�v t�/'ar,9-� �,crrn�/x��, •� . s/ sic. <br /> • /��!L-��7`i=f'J' %� ' � �,��.�Zt�� L_(fn�cPl�'//iiwtt L�.cav�v-�.�r� r.¢.c.t�Ya•tns r.-L,aE4v <br /> i <br /> lrz,S.r�fiaSSG -'rrl <br /> '/'/�_'/ /A/- /'/-�iE'rZs Cs7' �iG/fi•�.s ..+.y3�.27 csrt,. <br /> I recommend: Approval © Denial Continuance Inspector. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: / p <br /> i <br /> 77 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: - <br /> Proofread KenorL' <br /> OA fl Check Off List: Correct LAND USE#7 <br /> Correct CON01 110N(5)? , Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> May 25,2012 <br />