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NOTE: PULL ALL F MITE (Septic, Well, etc.) MAKE C JES FOR PILE <br /> LAND USE REPORT RECORD ID: SU0006866 <br /> DATE RECEIVED by EHD: December It,2007 APPL#: PA-0700404 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2625 <br /> USE PERMIT-MINOR;IJP} <br /> COMPLETE&SUBMIT BY: Wed, January 2, 200$ <br /> Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 22150 N KENNEFICK RD, ACAMPO APN : 01715002 <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 /> Ll : ... �� <br /> IV <br /> VE- F <br /> ......................... <br /> I recommend: Approval Denial � Continuance ❑ Inspk' for- � <br /> 5igibature <br /> Supervisor/Lead Senior COMMENTS <br /> 17 <br /> SUPERVISOR/LEAD SENIOR Approval: ..__. Date: t� <br /> t <br /> ;H 06 06 Report 4720[ December 2,2007 <br />