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NOTE: PULL Aa__ ERIVIITS (Septic, Well, etc.) IVIAKL_�OPIES FOR FILE' <br /> LAND USE REPORT RECORD ID: SU0006237 <br /> DATE RECEIVED by ERD: September 01,2006 ADPL 4: PA-06479 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2690 <br /> q11 elo LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: 6 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS.. 3015 E KENYO ST, OCKTON APN : 11926304 <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 /> j Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Z <br /> T recommend: Approval a' Denial Continuance Inspector: <br />} Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> d � <br /> i <br /> SUPERVISOR 1 LEAD SENIOR Approval. Date G U V& <br /> O 3Il Check Off�Lr i� 1'�r dde ee <br /> `' • Gor�e�_ cig <br /> E. <br /> EH 06 06 Report 47201 September 05,2006 <br />