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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND__USE REPORT RECORD ID: SUOOOSS85 <br /> DATE RECEIVED by EHD: September 07,2011 APPL#. PA-I I00153 <br /> Refri-r.rl ;lticnev S7'AFF CONTACT: JOHN FIJNDERBURG PE : 2622 <br /> SUBDIVISON- MINOR(MS) <br /> C'ONIIILETI? & SUBMIT BY: Tue, September 20, 2011 <br /> Assigned to : f;1;00()5944 ESCOTTO <br /> SITE ADDRESS: -5100 F, ACAMPO RD, ACAMPO APN : 01731020 22 <br /> In Completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.. sewage (Iisposal, vvjtcr <br /> SUJ)1pIies. etc...). Where necessary, on an attached piece of plain paper. draw complete reap of area showving population <br /> ,lerlllit,, location of'house, wind direction, etc,... <br /> I'uhlic W"tIe.r: Public Sewer: <br /> Name of Purveyor Name of 5�slcm <br /> SLiMMARY OR COMMENTS: <br /> : <br /> r <br /> j <br /> �J.. "....7:. T , _ <br /> ». ....!.:. .r :x Y �i1! ��,-t: '.�r ......;lis} ! �� � t: f��+p..: C.: -:.C;�"'./..� �.....:(ix s"..c- f`'•." Y ��' e� �7;,/�.✓f <br /> l recornrnerid: Approval Denial Continuance Inspector.-'Y, <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> C. <br /> r f` <br /> SUPERVISOR/ LEAD SENIOR Approval: <br /> Date: <br /> OA it Check Off List: Proofread Report? <br /> Con ANDUSE 4 ? <br /> Correct CONDITION(s)? Logged in LAND USE Book? <br /> Sept�mi3cr�lti. ?I11I <br />