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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500010239 <br /> DATE RECEIVED by EHD: September 25,2014 APPL#: PA-1400174 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, October 21, 2014 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 22211 N LOWER SACRAMENTO RD, ACAMPO APN : 01314046 <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 S/7C �s��/�41.�5 .4+✓� ��� 5�i�h[C�/L�!/��//J!`'` SZIC SS�� 1 ZL/ /jCL� <br /> l," ./I1E7eZ1ZV 2a2L 5/7z cry Com✓ SE'S��(tel. Y/Yl0'S <br /> �r-- <br /> !/���..9'�.� <br /> I recommend: Approval Denial ❑ Continuance Inspector. - <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: I O f <br /> Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 30,2014 <br />