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NOTE: PULL AL( cRMITS (Septic, Well, etc.) MAKE )PIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500008930 <br /> DATE RECEIVED by EHD: October 11,2011 APPL#: PA-1100184 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ' <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 13851 E LOUISE AVE, RIP N APN : 20306010 11 12 <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 tached piece of plain paper, draw complete ma of area showing population <br /> density, location of house, wind ction, etc.... /%1 <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �� j ' �- OL14r✓� o9c u.. L-C� <br /> a. f} " F •w..� C.r re +.. <br /> "4AeG^46.111 / !� gnKe-yam" I IT 1Mt_ i. <br /> �c K � [ac i6Y+1✓[c. � � I rC�. <br /> s.r� �rtIre rS 5 ot.4�+ eft, wr <br /> recommend: Approval E4 Denial Continuance Inspect <br /> ure <br /> OF <br /> Supervisor/Lead Senior COMMENTS: <br /> 7 b l 7r ivy r . Get c <br /> Lt/•GP - '1�i <br /> SUPERVISOR/ LEAD SENIOR ,Approval: - - - ate: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#?. <br /> Correct CONDITION(S)? Logged in LAND USE Book9 <br /> EH 06 06 Report 47201 <br /> October 11,2011 <br />