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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00009854 <br /> DATE RECEIVED by EHD: Decem&!9?&Ij- r �J, APPL#: PA-1300211 <br /> Referral Agency STAFF CONTACT: JOHNFL WNDERBURd I , PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE At SUBMIT BY: <br /> Assigned to: EE0004045TASIOPOULOS <br /> SITE ADDRESS: . 3 S"U min APN : 02515059 60 <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 11 Name of System <br /> SUMMARY OR COMMENTS: <br /> ;2- a . <br /> /y r' ad <br /> u1t , + I i Ata vt <br /> �6 Ace> O44z6&. W f/l,, eew4ptAu e& <br /> av- s �eo_,c�MKS <br /> I recommend: Approval ® Denial Continuance Inspecto <br /> lanature <br /> Supervisor/Lead Senior COMMENTS: <br /> iia �� D�S.G(�trUVl <br /> SUPERVISOR/LEAD SENIOR Approval: lip N, Date: 1 L l 3 <br /> OA p Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> I:H 06 06 Report#7201 December 16,2013 <br />