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NOTE: PULL ALL h.,AMiTS (Septic, Well, etc.) MAKE �JIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004603 <br /> DATE RECEIVED by EHD: August 11,2004 APPL#: PA-04-429 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: ASAP y. <br /> . <br /> Assigned to • EE0004149 BORGES <br /> SITE ADDRESS: 23101 N BENDER RD,ACAMPO APN : 00317006,13,& <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 recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> -012 <br /> SUPERVISOR 1 LEAD SENIOR Approval: h Date: 2 <br /> f <br /> Prooread Re w <br /> OA 11 Check Off List: Po.rt.� .: ,. Corr ,AND USE# , <br /> CorrecfONDrTTO1V(S)? , Logged m.1,PFD USE13ook? <br /> EH 06 06 Report 97201 Page 2 August 13,2004 <br />