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i <br /> NOTE: PULL ALL i,-AMITS (Septic, Well, etc.) MAKE DIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006686 i <br /> DATE RECEIVED by EUD: August 13,2007 APPL#: PA-0700298 REV �I <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, August 15, 2007 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 7099 E PELTIER RD, ACAMPO APN : 00526042 <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 <br /> a - ... <br /> I recommend: Approval Denial Continuance I or: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS_ <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> ` <br /> ' Proofread Re ort : Cozrect LAND rGTSL{� <br /> Qi4 ll. eck lDff L}st p <br /> Correct C,ONDITTQN("�) ,a LoggedaLAND LSE,Bok7 e <br /> SH 06 06 Report#7201 August 14,2007 <br />