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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAPID USE REPORT RECORD ID: SU0010436 <br /> DATE RECEIVED by EHD: March 27,2015 APPL#: PA-1500050 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: ,, <br /> � Assigned to : EE0004045 TASIOPOULOS <br /> LA I%k <br /> SITE ADDRESS: 16116 S WA Er QN APN : 20506016 <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 /> o C� <br /> I recommend: Approval Denial ❑ Continuance El Inspect _ <br /> i�nature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: i �C <br /> k Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 30,2015 <br />