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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011871 <br /> DATE RECEIVED by EHD: July 25,2018 APPL#: PA-1800176 <br /> Referral Agency STAFF CONTACT! CHRISTINE LUCKASEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, July 27, 207 <br /> I DD v I!-2-0,e signed to : EE0009488 WONG <br /> SITE ADDRESS: 15998 E HWY 26 , LIND 66 APN : 10508011, 10508012, 10508016 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water sup) <br /> etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population density, loc <br /> of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Na of System <br /> SUMMARY OR COMMENTS: 1 I f (��g 4"-'4 /, <br /> 1s 9� 4 9' <br /> Sr re. 5 LA Y-� N <br /> I recommend: Approval Denial Continuance Inspector: U0-LI <br /> ign re <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: �� Date: <br /> q pUsL Proofread Report? Correct LAND USE#? <br /> Correct COND[TION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 26,2018 <br />