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NOTE: PULL AL1 -.-ERMITS (Septic, Well, etc.) MAKE, ,•OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0003426 <br /> DATE RECEIVED by EHD: April 14,2004 APPL#: PA-04-185 <br /> Referral Agency STAFF CONTA T: OSE UBJANES \ PE: 2698 <br /> r J LOT LINE ADJUSTMENT(LA) <br /> ft%k <br /> � <br /> COMPLETE&SUBMIT "bY: f Assigned to: EE0001456 HESS <br /> SITE ADDRESS: 18389 S MCKINLEY AVE,MANTEL APN : 24140024&25 <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: /1� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> o <br /> J* <br /> I recommend: ApprovalEr DenialContinuance F-1Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> rNra <br /> �.� <br /> L r <br /> s <br /> d <br /> SUPERVISOR I LEAD SENIOR Approval: Date: <br /> OA 1!Check Off List: <br /> Proofread Report? ` Correct LAND USE#? 1 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 April 16,2004 <br />