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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT 11 RECORD 11): SU0007132 <br /> DATE RECEIVED ny EHD: April 11,2008 APPL#: PA-0800118 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: ASAP'--BY <br /> , <br /> Assigned to : E1?0005366 MEDINA <br /> SITE ADDRESS: 40100 E ACAMPO RD, ACAMPO APN : 013.21012 49 58 <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 /> I. <br /> C recommend: Approval [2—D-enial F-1 Continuance F-1 Insp or: <br /> ignature <br /> iu ervisor/Leat!Senior COMMENTS: <br /> r <br /> 'SUPERVISOR/LEAD SENIOR Approval: Date: <br /> IJp a kirsf' 4 'J. <br /> ro�fre0d 1tport. » y art L1C71I _ <br /> �?.: s4'1�34e011' � 5 .� IBooic� � <br /> .: <br /> H 06 06 Report#7201 April 11,2008 <br />