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.�[ • r <br /> NOTE; PULL ALL AMITS (Septic, Well, etc.) MAKE bAPIES FOR FILE <br /> LAND USf REPORT RECORD ID: SU0006605 <br /> It <br /> 11 ATE RECEIVED by EHD: June 19,2007 APPL#: PA-0700146 <br /> Referralk gency STAFF CONTACT: 1 PE : 2690 eSEL <br /> � 37,fAL-- <br /> LOT LINE ADJUSTMENT(LA) <br /> C MPLETE& SUBMIT BY: _ <br /> Assigned to : LE0005366 MEDINA <br /> SITE A_. DREss: 2639 E PELTIER RD, ACAMPO APN : 00318024 26 28 <br /> In complet�g the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, et ...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, loc ition of house, wind direction, etc.... <br /> Public Wa er: /]o--4511 Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY�LR COMMENTS: <br /> 07 — �G G <br /> I recomme d: Approval Denial Continuance Insp tor: <br /> Su ervisor ad Senior COMMENTS: ignature <br /> U <br /> Il� <br /> U <br /> WPERVISO; /LEAD SENIOR Approval: <br /> Date: <br /> 0�4II;CHc1[ ffLlst'il Ixronfrd Repgrtr <br /> 4' <br /> treet CONI ITZQN ? BS ANIS U SV Bbo 1 <br />?M 06 06 Report- 201 <br /> June 20,2007 <br />