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f ! <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011945 <br /> DATE RECEIVED by EHD: January 31,2019 APPL#: PA-1800245 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN1 o u PE : 2690 <br /> R Ic <br /> LOT LINE ADJUSTMENT(LA),— <br /> COMPLETE SUBMIT BY: Fri, February 1, 20P b+� <br /> 1 KO S-( Assigne EE0009488 WONG <br /> q"SITE ADDRESS: 25271 N HWY 99 ,ACAMPO }APN: 0051420 ,00514223,0 514224 <br /> In completing the Land Use investigation, draw all Pu lic Health factors on the e it (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: 9 v Public\S,,ewer: <br /> Name of Purveyor ,2,f 2x� y��Q'f� �1�11 Name of System <br /> SUMMARY OR COMMENTS: <br /> V <br /> �-o+,e e <br /> inn 9, y a <br /> V- <br /> Ap ref . <br /> iCa S S <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 he k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 06 06 Report#7201 January 31,2019 <br />