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ti <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008462 <br /> DATE RECEIVED by EHD; September 30,2010 APPL#: PA-1000218 <br /> Referral Agency STAFF CONTACT: C INN_E KING PE ; 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BA . <br /> � Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 16713 E LIBERTY RD, GALT APN : 00907001 <br /> [n 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: <br /> • / �S� aye C�=l//rr%'' . <br /> C Gg;L <br /> l recommend: Approval [aDenial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> T <br /> SUPERVISOR/LEAD SENIOR Approval: 6r <br /> u`!s. a" <br /> EH 06 06 Report 97201 October 01,2010 <br />