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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011182 <br /> DATE RECEIVED by EHD: January 12,2017 APPL#: PA-1600188 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Fri, January 20, 2017 pa 1SE1_ <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 10283 E BRITTANY LN,ACAMPO 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 /> �ZZ:vL <br /> Gl jr- <br /> 64, <br /> I recommend: Approval 2' Denial El Continuance El Inspector.' _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> A/rrte : 7 � r� _ � <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> All heckOH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Itl I Oo iib Report d77n I January 12,2017 <br />