Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009534 <br /> DATE RECEIVED by EHD: February 20,2013 APPL#: PA-1300017 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> P-- v- <br /> [ , Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 15674 E HWY 26 , LINDEN APN: 10508002 03 10506002 03 <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 /> 3ensity, location of house,wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> TM MARY OR C O MENTS: <br /> 12k5,iL3.1: AV/- Af/ ,&-2,1-$`<Nl4�L,LfLE=716�tzt7� _ <br /> vitt #j6 z Szt�J r�tlz�S/cr- /Tj?/c1Cd&2 <br /> ��„u� .Y{>,i r>..�-L� A-rl�.r.�i✓ra�l'7is,4 5�i./ .si¢s7.�rr A�u7,9�/fY�/1b'/��iG Ct-[3i <br /> A) C7o- CC7 7 <br /> [ recommend: Approval Denial El Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ii P[RN ISOR/ LEAD SENIOR Approval: Date: <br /> OA 1I Check Off List: Proofread Report? J Correct LAND USE 4? <br /> Correct CONDITION(S)?- Logged in LAND USE Book? <br /> EH 06 06 Report 87201 <br /> February 20,201_ <br />