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NOTE: PULL AL__..ERMIITS (Septic, Well, etc.) MAKE JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007680 <br /> DATE RECEIVED by EHD: April 17,2009 APPL#: Qui-980001 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2656 <br /> REVISIONS TO ACTIONS (RA <br /> COMPLETE & SUBMIT BY: Tue, May 5, 2009 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 15004 E PELTIER RD, ACAMPO APN : 02107001 <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 populati <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 recommend: Approval F-1 Denial 1-1 Continuance Inspector: <br /> Signatur <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: - <br /> OA lI Check Off List: Proofread Report' / Correct LAND USE#'? ` <br /> Correct GOND:-!R)N(S) Logged in I.AND USE Book? <br />