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NOTE: PULL ALL PERMITS (Septic, Well, etc,) MAKE CbPIES FOR FILE <br /> ! LAND USE REPORT RECORD ID: SU0008518 <br /> DATE RECEIVED by EHD: November 29,2010 <br /> APPL#: PA-1000264 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN <br /> PE : 2631 . <br /> COMPLETE & SUBMIT BY: Fri 3 SITE APPROVAL-MINOR(SA)December 10, 2010 <br /> SITE ADDRESS: 10171 E ACAMPO RD,ACAMPO Assigned to : EE0005944 ESCOTTO <br /> APN : 01718012 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> r 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 /> Pubic Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> � Zt� <br /> I recommend: Approval Denial Continuance El Inspector <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> 6 <br /> [c : 0 <br /> SUPERVISOR/LEAD SENIOR Approval <br /> DA l!Check Ofd List' ��Proofread R� or�'�����.� � ,. Date <br /> r g �a•rL,sc �s�..;`'"�° ;w+�saa€az.' ' � !.m fir_ ,�°` �'AE7'eC�'I,g' � � z" <br /> ��,a,_ ,_ .._ ,� '°� .�,�,�,� '�.:�� I� ed'zt I�ANb 1.35 I3 ��" .. � •� �� �� <br /> EH 06 Ob Report H7201 <br /> November 30,2014 <br />