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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009205 n. Q 2,10 <br /> DATE RECEIVED 6y 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, 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 COMMENT _,C, 2zk/ 6a ) /'QT! f3� Ji7 / AGF 1�rn,sS <br /> -�� _ �/i_ee���}�.n,�e-a�-Us.�t�tLS�•�lJ�rlrty t�l���/�1 rsn,�i�.�, /.r,� �./ i� <br /> /a9-!L- =TY lGthgi,dd 4e-! G7�i L J4��ixir�i�m /tee.�yz dry (/[�xv tos c ti ae9u <br /> A Ilk <br /> ''/'/f��2✓' f!-IIE't2s cO.�S/s7'�N�iCllilGL,nsu»2�oaL�7 GiSc+� <br /> I recommend: Approval © Denial Continuance Inspectora <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 4 4C CN' C7 Z-D I I <br /> SUPERVISOR/ LEAD SENIOR Approval: Date - <br /> OA 11 Check OH List: Proofread Report? - Correct LAND USE#? <br /> Correct CONDI770N(S)? Logged in LAND USE Book? <br /> It 06 06Itepon FR01 <br /> May 25,2017 <br />