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f <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012101 <br /> DATE RECEIVED by EHD: January 14,2019 APPL#: PA-1800318, <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, January 31, 2019 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 12080 E ACAMPO RD,ACAMPO APN : 01727012 <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.... `�f q I &a-e S <br /> Public Water: Public Sewer: KI dv�--. <br /> Name of Purveyor Name of System ('�Q r <br /> SUMMARY OR COMMENTS: S <br /> IV �+"t2 Gam" <br /> A <br /> S _•:.e <br /> - C PR <br /> I recommend: Approval ❑ Denial Continuance F Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 15,2019 <br />