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NOTE: PULL ALL L tMITS (Septic, Well, etc.) MAKE DIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006649 <br /> DATE RECEIVED by EHD: July 24,2007 APPL#: PA-0700334 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2690 <br /> Aq <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: � <br /> Assigned to : EE0005944 ESCOTTO <br /> I I%Jnp I <br /> SITE ADDRESS: 9532 N WEST LANE , STOC T g APN : 12003003 <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: <br /> 6" <br /> I recommend: Approval Denial Continuance Inspector: , <br /> Signature f <br /> Supervisor/Lead Senior,COMMENTS: <br /> //Vv <br /> SUPERVISOR/LEAD SENIOR Approval: Date: U <br /> rdQreapo '� u„. Coir LAMA US. #j� <br /> OA lf:Ch�ck".Off' Lrst <br /> Jnr iect��SI�`DIT ION; Tgged i13 qp <br /> -; i..y__ .... 'D <br /> .�._._._ .� ___ ..-,.,.. ,n-, .,, .w � .-.- .._ .-,. „,e�-'� .P..r..,.-. . _.h.. .sem...... <br /> SE I3 <br /> 'H 06 06 Report#7201 July 24,2007 <br />