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NOTE: PULL AW"eERMITS (Septic, Well, etc.) MAKE C IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008427 <br /> DATE RECEIVED by EHD: August 30,2010 APPL##: PA-1000188 <br /> Referral Agency STAFF CONTACT: JOH F jD^ PE : 2690 <br /> lioh R LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: V. . I- <br /> Assigned to : EE0004045 TASIOPOUL05 <br /> SITE ADDRESS: 5438 N WALL RD,LINDEN APN : 09130004,05 <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 ,of area showing population <br /> density, location of house, wind direction, etc.... Z) M <br /> Public Water: Public Sewer: <br /> i I I - - <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Derv. c.z, t-f- ZGr� G� A r�fzr c�7Lz c3 ,frti/?c� -�ls �L <br /> 1 recommend: Approval Denial ❑ Continuance ❑ Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> a <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: RC1 <br /> 'OA 11-heck t3f List I'ravread Rela6rk �� o zec L AS # 7 �� = rt :rte <br /> ,..:,. n" ,.,.... _...ate s '° .... §"�`' F#='" +-• ice` ;�' <br /> = � ge � <br /> Eli 06 06 Report#7201 August 31,2010 <br />