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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009358 <br /> DATE RECEIVED by EHD: September 25,2012 APPL#: PA-1200158 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE At SUBMIT BY: Thu, October 4, 2012 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 7087 E PELTIER RD,ACAMPO APN: 00526041 <br /> to 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 /> -�-�QCmI e—kAZ' Tca� <br /> .q') PS- ,4�Gc._ Cs7�/7�d.(c r�.�r�'t�✓.�Yt. - ean•�, � c./•lfr � -.1 � ✓�yyc pi-�.�� <br /> [ recommend: Approval © Denial F-1 Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 1Z 20 7 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: b A p <br /> OA 11 Check Off List: Proofread Report? �— Correct LAND T'SEx? <br /> Correct CONDITION(S)? Loge, d in LAND USE Book'1 <br /> 211 06 06 Report 47201 September 2 6,2012 <br />