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NOTE: PULL ALL,,,,ERMITS (Septic, Well, etc.) MAK A;ES FOR FILE T <br /> LAND USE REPORT RECORD 1D: SU0007296 <br /> DATE RECEIVED by EUD: July 28,2008 APPL#: PA-0800212 PRE APP Pre-Applira <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2691 <br /> GP AMENDMENT 10+acres(GP) <br /> COMPLETE &SUBMIT BY: Wed, August 13, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 23228 N ELLIOTT RD, ACAMPO APN : 00728017 <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 /> O <br /> I recommend: Approval Denial Continuance Ins or: <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: •,'-I�w <br /> Q/if heck Dff f Proofread epQrt*�*; W�� ANi3 tfi5 <br /> gip. oYrect C 3Dl r S � l x g er(xt LANDS VSB tc� <br /> _ _ . <br /> EH 06 06 Report 07201 July 28,2008 <br />