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r <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008668 <br /> DATE RECEIVED by EHD: March 14,2011 APPL#: PA-1100041 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ARAP-841- ���� <br /> Assigned to : EE0004045 <br /> SITE ADDRESS: 29159 N JACK TONE RD, GALT APN : 00719011 12 <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: 3J Z.& G� If � <br /> 0 � fl�-r�-• raz .� car crn <br /> IF <br /> .,�') �%� L•3fta d1�3 .cry����c�.Ls rc1 fn�'S�G�/ �'-�''�%c�.{-z�• <br /> I recommend: , Approval EJ Denial ❑ Continuance F-1 Inspector �p <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: 1 Date: i <br /> OA 11 CheC►s Off Li f Pre�£ted)tesort7 rgrrect LA . <br /> �t n <br /> ' a Cs�rr Ct CCJl�TB1TL0 . z�� <br /> W <br /> Q�,, ........ °° Lagged un L I 11 Bao .e. <br /> EH 06 06 Report#7201 March 14,2011 <br />