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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD H): SU0009629 <br /> DATE RECEIVED by EHD: May 07,2013 ADPL#: PA-1300062 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE At SUBMIT BY: RV' <br /> L �• • • Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 15674 E HWY 26 , LINDEN APN: 10506003 <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: , �! 2t�tEL") <br /> ' 0776/�� 7*/9�/itsl/iR'F� 4ftt-LG�,�Zz� �.t/.�Nlec�-�'3 �lt3�'�/ �2- 6'�3 Ca•1S157t33 <br /> 61rr/u3+10.� o�6LR�-25 <br /> 1 recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: ILA `AAtW)f . Date: �f/ <br /> r <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 1106 06 Repon 07201 Moy 07.301- <br />