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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012798 <br /> DATE RECEIVED by ERD: January 06,2020 APPL#: PA-1900303 <br /> Referral Agency STAFF CONTACP. RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Mon, January 13, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 24375 N KENNEFICK RD, GALT APN : 00519043,00519057 <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: u"lr<-7 Public Sewer: N o <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �—O� W Gam«. �- G��► T St..- <br /> I recommend: Approval F-1 Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 06,2020 <br />