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NOTE: PULL AL"RMITS (Septic, Well, etc.) MAKEPIES FOR FILE <br /> LAND USE REPORT _ RECORD ID: SU0007718 <br /> DATE RECEIVED by EHD: May 11,2009 APPL#: PA-0900115 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: A !Q A DVE <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18480 E MUNRO AVE, STO bN J APN : 1850202930 <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 COMMENTS: 71e_ � ' <br /> 4 <br /> f .�1a Le77 z:: c2 12: e, gll /G �4.�� r�L 7[l�f�✓ <br /> _f <br /> I recommend: Approval ❑ Denial Continuance ❑ Inspector: <br /> �J�— <br /> 7 Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 426 Xcza <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> QAI)C eck Off bst Proofread Reports - Correct L lJ 5 <br /> Cr�rreot CONDITION S Logg�d_rn LANA ll tiok�. :s <br /> EH 06 06 Report 47201 <br /> May 12,2009 <br />