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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011932 <br /> DATE RECEIVED by EHD: September 17,2018 APPL#: PA-1800239 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, September 21, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 16780 E JAHANT RD,ACAMPO V APN : 02113012; 02113014 <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.... 1 <br /> Public Water: Public Sewer: W <br /> Name of Purveyor ame of stem <br /> SUMMARY OR COMMENTS: 3 � <br /> /'4 I +J <br /> � ( , <br /> vi L Cj C' <br /> a s n ;--, ry� 0 2[I © l 3 C"lsa &jj b q- b,4- ✓ot -t 14-1- <br /> - v vW <br /> JL <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Signatur <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ti <br /> OA II Check OK List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 19,2018 <br />