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NOTE: PULL ALV-PERMITS (Septic, Well, etc.) MAKE QdPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008463 <br /> DATE RECEIVED by EHD: September 30,2010 APPL#: PA-1000219 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY; <br /> - Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 10112 E WOOMIa9 yAhmpo APN: 01723001 <br /> [n 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: _ t l 3 � <br /> 4. Co 1 <br /> �') I.�v_��;�����-�45��O!'7CG� �cJ.���caJ7�i� •4�iGr�I-r��,.__. ,_ <br /> [ recommend: Approval 1Z --Denial ElContinuance -Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR I LEAD SENIOR Approval: Date: C3 <br /> NI" <br /> • g' : orrec C�QIVIITi�?N( ), ,va.,,:,e. 01, C :e" ci ed iri L +N�..USE Uoak . $ <br /> -', <br /> EH 06 06 Report 47201 October Oi,201C <br />