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NOTE: PULL ALL�eERMITS (Septic, Well, etc.) MAKE G%PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008744 <br /> DATE RECEIVED by EHD: May 09,2011 APPL#: PA-0900014 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> `% <br /> COMPLETE&SUBMIT BY: A6AFF-8Y-, LOT LINE ADJUSTMENT(LA) <br /> •— Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18915 E FRONT ST, LINDEN APN : 09125048 49 <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: <br /> Le-d7 <br /> 1 recommend: Approval 2 Denial Continuance Inspector: ' <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> • r <br /> SUPERVISOR/LEAD SENIOR Approval: Date j' <br /> 41'C <br /> heck C1ff List �Proclfreatl` sport g' �6 1 <br /> .,e a3a "NOW <br /> te i :'Yd �rCeMg*" <br /> I :a. -.„�`�; <br /> � .3° °W era <br /> .e. <br /> EH 06 06.Report 47201 <br /> May 11,2011 <br />