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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012359 <br /> DATE RECEIVED by EHD: June 03,2019 APPL#: PA-1800318 <br /> Referral Agency STAFF CONTACT ALISA GOULA_RT PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, June 13, 2019 <br /> Assigned to : EE0009833 KAUR <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.... <br /> Public Water: n,�� Public Sewer: (VT(\J/ <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: NO t-itr m I h -N oyid in <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 05.2019 <br />