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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011905 <br /> DATE RECEIVED by EHD: August 20,2018 APPL#: PA-1800127 <br /> Referral Agency STAFF CONTACT: CHRISTINE LUCKASEN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Fri, August 24, 2018 <br /> Assigned to: EE0009488 WONG <br /> SITE ADDRESS: 10516 E PELTIER RD, ACAMPO APN : 01726031,01726030 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water sup] <br /> etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population density, lot <br /> of house, wind direction, etc.... <br /> Public Water: ffe, _ Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 1 ✓aGL/ P eer r J� s, A /C. , <br /> .�� ✓,3,f Ff�3d lL� <br /> Pct <br /> �0/ifetn�a� un.t, �IOmodd. `G ...t Ll akcl, Uwl v4' tAa_l,C. <br /> r eQl VrK I.Irl TL�LKS I20 sI`�.�wC'e. i/.lxl iii OLOwVAJ-Y LAL" , AO. ✓ a 'At�V,(- nru,A�t S4 +dL ..5•L <br /> 4-G N K 4CG4 9.L // Q—�l 01bOJ- A/UJ�✓�I E �/*a LL "ELlN I� ,K 6i�v1/• <br /> I/:a7 3aa of <br /> I recommend: Approval Denial ❑ Continuance Inspector: 146 <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Ch,ck Off List, Proofread Report? Correct LAND USE#? <br /> l <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 21,2018 <br />