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NOTE: PULL ALL PERM& (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> SA-99-92 (TIME EXTENSION) <br /> LAND USE REPORT 23750 N. GRArHAAM RD., ACAMPO <br /> E11D RECEIVED APP.REFERRAL: � ��.�`dl COMPLETE & SUBMIT BY�—/—d/ <br /> DATE DATE <br /> ATTN: a r C.s <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> i <br /> v 42 il- <br /> I recommend: Approval Denial Continuance Inspector's Signatures <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: - <br /> All CHECK OFFLIST. Proofread report? Correct LAND USE#? <br /> El 106 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />