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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FI <br /> LAND USE REPORT RECORD ID: SU0011412 <br /> DATE RECEIVED by EHD: July 03,2017 APPL#: PA-1700135 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, July 7, 2017 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 19900 N HILDEBRAND AVE,ACAMPO APN: 01734005 <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: _ /t �(yJ &zuL g'- ZO 2-j g � r P�ZBi75 <br /> f f Cd c�vlia� ,4 /AE3 VdC& V1=d I. &,4 Sc—Zti,27sCs7c�, <br /> 4 ���� 56Lca,, 9�'a moi° F�i.�t <br /> GvZsay eF Ze,�"�.921.e�Cr+t/�l��5 eF dr�.J�1.4�c�1S. <br /> c- <br /> - f��aYr►�iat�aZrn,/s <br /> A) - <br /> Z",i4c o <br /> I recommend: Appr enia ❑ Continuance Insp for <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 4 ? <br /> Correct CONDI HON(S)? logged in LAND USE Hook? <br /> EH 06 06 Report#7201 July 03,2017 <br />