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W-00, <br /> NOTE: PULL ALS.-.rERMITS (Septic, Well, etc.) MAKE- 01ES FORFILE <br /> LAND USE REPORT RECORD 1D: SU0008176 <br /> DATE RECEIVED by EHD: April 01,2010 APPL#: PA-1000074 <br /> Referral Agency STAFF CONTACT: CORRINE KING PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, April 20, 2010 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 9273 E JAHANT RD,ACAMPO APN : 00731010 <br /> [n 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 /> tea.•� � ��-- zS ����a-. ��d� �,� <br /> tea••ate <br /> I recommend: Approval Denial ❑ Continuance F-1 Inspecor: <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> i9 I - - <br /> a <br /> Z� <br /> pfd > <br /> zz <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> j- ProofreadItepnrt7' :orrecLTYAND"[ <br /> �OA 11 Check Off List - <br /> r`" Correct C©TiDIITO_(, Lagg in AI�FIl LTSPB ak7 <br /> t �. .... <br /> 6H 06 06 Report 97201 April 02,2010 <br />