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NOTE: PULL ALL PE (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0004752 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: December 21,2004 ADPL#: PA-04-765 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE: 2690 <br /> LOT LINE ADJUSTMENT(LA)COMPLETE&SUBMIT BY: <br /> w Assigned to: EE0000001 TURKATTE <br /> SITE ADDRESS: 2525 E MORADA LN, O LN <br /> APN: 10203002 <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 /> I recommend: Approval Denial Continuance Inspector: <br /> F-1 �, <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> t - <br /> ah�� <br /> a a ea <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> OA!1 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 4 EK 06 06 Report 47201 Page 1 December 27,2004 <br />