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NATE: PULL ALL�.RMITS (Septic, Well, etc.) MAKE , ,SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006027 <br /> DATE RECEIVED by EHD: May 09,2006 ADPL#: PA-0600250 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: .JS ® per Rya <br /> Assigned to : EE0005944 ESCOTTO <br /> I <br /> SITE ADDRESS: 21356 E ACAMPO RD, CLEMENTS APN : 02308022 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> •/��� d!</C�i✓vp�J/fes/l�✓C�L�7"�4-.�T�SY�J��I'!�� Z�r�GtT7l�/LZ�t� <br /> 4IZ /2�atiL� l � <br /> I recommend: Approval © DenialEl Continuance Inspector: <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> J5; <br /> EH 06 06 Report 87201 May 09,2006 <br />