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NOTE: PULL ALL, ,,RMITS (Septic, Well, eta.) MAKE';,,i DIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005959 <br /> DATE RECEIVED by EHD: March 14,2006 APPL#: PA-0600093 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2690 <br /> A S R LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ■ <br /> g Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 2751 E JAHANT RD, ACAMPO APN : 00505027 37 <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 /> I recommend: Approval Denial Continuance In or: <br /> S nature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 5 I-1 <br /> !1F 6ck tI►L , .T ?'ioofrearI Re�portANi�L7"E K. <br /> EH 06 06 Report#7201 March 14,2006 <br />