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NOTE: PULL AL0,,,,.tMITS (Septic, Well, etc.) MAKE`'CIES FOR ME <br /> LAND USE REPORT RECORD ID: SU0006557 <br /> DATE RECEIVED by RHD: May 09,2007 APPL#: PA-0700210 <br /> Referral Agency STAFF CONTACT: CORINNE BOGGS PE : 2622 <br /> SUEDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, June 5, 2007 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 25400 N ELLIOTT RD,ACAMPO APN : 00715056 <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 /> as. oa <br /> moi •' c�.���. � <br /> as_•.�1.. •..,_._ , <br /> I recommend: ApprovalDenial Continuance Inspector: .�- <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 <br /> L <br /> Z 2 <br /> t 03 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: cJ t'S <br /> OA�li Checltdff Lrst1'raafread Lport9Correct) <br /> orrect C(}NDITION(S} r <br /> %Log LAND USE BQQk7 <br /> EH 06 06 Report#7201 May 11,2007 <br />