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NOTE: PULL ALLq&,RMITS (Septic, Well, etc.) MAKE %, F IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005637 <br /> DATE RECEIVED by EHD: September 20,2005 APPL#: UP-000012 RA <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Tue, October 4, 2005 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 6200 E PELTIER 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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Suvervisor/Lead Senior COMMENTS: <br /> 7 <br /> An <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA I/Check Off List: Proofread Rep ? Correct LAND USE4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> FH 06 06 Reoort#7201 September 21.2005 <br />