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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013587 <br /> DATE RECEIVED by EHD: August 31,2020 APPL#: PA-2000138 <br /> Referral Agency STAFF CONTACP. TEDDIE HERNANDEZ PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Thu, September 3, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 12679 N CLEMENTS RD, LINDEN APN : 06513006,-07,-Il <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: �\ONA9-, Public Sewer: , <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 1 Ck <br /> \2(,0l N c. S yip • <br /> 117—5 t L.7 TJ <br /> 2 17 Cj, <br /> I recommend: Approval Denial F-1Continuance F-1Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> All he k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 04,2020 <br />