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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008918 <br /> DATE RECEIVED by EHD: October 03,2011 APPL#: PA-1100170 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: ASARRY - Assigned to: EE0005944 ESCOTTO <br /> �� I � 9 a <br /> SITE ADDRESS: 1525 E JAHANT RD, ACAMPO APN : 00315008 17 <br /> ht 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 /> �ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Z-5/7 <br /> 1-11�_Iwel�lz IC5 -i'- CIC7 IZL�- 44-.-6 A43 <br /> I recommend: Approval Denial Continuance Inspector: <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> �,2 <br /> 'z� <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA I/Check Off List Proofread fleport?_ Correct LAND USE 4? <br /> Correct CONDITION(S)? Log ed in LAND USE Book? <br /> gg <br /> �,H Ob 06 Report#7201 octobc, ol.10 11 <br />