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23 1 <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> 00 <br /> LAND USE ATE REE REPORT <br /> RCEIVED by EHD: August 15,2R US HECOPPLD: PUA -16 00188 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> /�.�7 r I SITE APPROVAL-MINOR(SA) <br /> CASA � ,,BY: �� l� <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 10 3 BRITTANY LN,ACAMIPO APN : 00707049 <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 /> �Dt/�7� 'ZCGIJ' lfl�L2//� <br /> /044a�a._ CL-GsCo /� 4 s2c [� Dt C>dt/�Oz.t/GLc�E YrS� <br /> �tJ Dte ~ Tyy X-P)ce, `ZL,n, io e•-Vl9xF oa,2e s e.4'Z�� <br /> I recommend: Approval a Denial E Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> cd>oo ..t,WC - <br /> 0(�?- Yw ab col t Zvi <br /> SUPERVISOR/LEAD SENIOR Approval: Date: -;g I Z`t <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 August 16,2016 <br />