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NOTE: -PULL ALl� :RMITS (Septic, Well, etc.) MAK[ PIES FOR FILE <br /> LAND^USE REPORT <br /> RECORD ID: SU0005653 <br /> DATE RECEIVED by EHD: September 27,2005 APPL#: PA-0500574 <br /> Referral Agency STAFF CON'T'ACT: CEALY LEIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: 1 UES 0C%0���.���.S Assigned to EE0005366 MEDINA <br /> SITE ADDRESS: 10195 E JAHANT RD, ACAMPO- APN : 00732017 <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: w Public Sewer: <br /> N e of Purveyor Name of System <br /> SUMMARY OR COM.MENTS: ol �P� <br /> z2n <br /> I recommend: Approval Denial Continuance In pecto - <br /> Signatut( / <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 2- <br /> 0 ( 01 <br /> z1�I <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> $h <br /> Ct`� '3 € <br /> 3' <br /> EH 06 06 Report#7201 September 28,2005 <br /> - II <br />