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NOTE: PULL ALL L,:MITS (Septic, Well, etc.) MAKE (`1IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006100 <br /> DATE RECEIVED by EHD: June 27,2006 APPL#: PA-0600347 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, July 18, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 11345 E JAHANT RD, ACAMPO APN : 00715013 <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: `�Y� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ' <br /> //. Oa <br /> aa. Oa <br /> I recommend: Approval E+--Ifenial El Continuance In ecto <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> �Jur�ft���n,.a�ttd S a. o� �usFrnn.t.- uLe <br /> .nr u 4n ee -4�ce-( A-? <br /> ✓� 2'a :u Z- 3-I 0- 40 "eCoda-te •-f' a-cel SA <br /> C 11 : � 3H <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Q O <br /> 10-10 <br /> EH 06 06 Report#7201 June 27,2006 <br />