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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004612 <br /> DATE RECEIVED by EHD: August 20,2004 APPL#: PA-04-251(Reg Apl <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Wed, September 1, 2004 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 9422 E JAHANT RD, ACAMPO APN : 00734009 <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: azo. Public Sewer: s z< <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �r-3r'��C <br /> i C f <br /> I recommend: Approval Denial_ Ea Continuance F� lnspec ` <br /> 7 , Snat cm,� <br /> Supervisor/Lead Senior COMMENTS:�, <br /> D <br /> 2� 4L cr�i ten�atl�� <br /> 0 wt 5� �ot,✓ <br /> / - r q <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II:ChUclir 'isl Co Rl ,, <br /> EH 06 06 Report 47201 P e t O v Alrgust25,2004 <br />