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NOTE. PULL A RMITS (Septic, Well, etc.) MAK <br /> • � PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007156 <br /> DATE RECEIVED by EHD: April 28,2008 APPL#: PA-0400479 RE <br /> Referral Agency'STAFF CONTACT: JOHN FUNDERBURG YE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, May 20, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 120 W ACAMPO RD, ACAMPO APN : 01312065 <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: en�Lw Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: y <br /> I recommend: Approval Denial Continuance Ins ct _{ <br /> ienature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR I LEAD SENIOR Approval: 51 <br /> 1 d <br /> -P--'-- 'ead. a t <br /> ,OA flheckff si ' tSE <br /> orrect�C?NDIT10 .. end i21 <br /> .. . <br /> -... 0o, x . <br /> _ <br /> EH 06 06 Report#7201 APril 24 2008 <br />