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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012377 <br /> DATE RECEIVED by EHD: June 17,2019 APPL#: PA-1900122 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, June 21, 2019 <br /> Assigned to: EE0009833 KAUR <br /> SITE ADDRESS: 22701 E FRAZIER RD, LINDEN APN: 06522004 <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: )j -A- Public Sewer: fl'\,(i <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: N 2Y (XC G!lV10� <br /> rI1 'S - 2 q <br /> " <br /> X'Pti s S I es vlofi <br /> c,VbaC)�, ohto 1�.c, l7rnpbsed ��-� �i►�c . <br /> I recommend: Approval M Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 17,2019 <br />