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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010381 <br /> DATE RECEIVED by EHD: January 30,2015 APPL#: PA-1100092 RA <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Wed, February 11, 2015 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 7099 E PELTIER RD, ACAMPO APN : 00526042 43 <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 /> --.5---6 IA14.STL�T?� `jf. <br /> 2Cc/it,�f7,f�1.l� �' 7� •l,I f�?L �i - ,g-?7c���s� S'a./9cc C3c=�2c�ra/-Z�. <br /> I recommend: Approval Denial ❑ Continuance F-1 Inspector: { '4d---'K--'— <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> CopyS <br /> d-k - <br /> f7 ori✓� � �SSu.�►-�+-+- o'I /;3e� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA U Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 February 03,2015 <br />