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NOTE: PULL ALL PIERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007267 <br /> DATE RECEIVED by EHD: July 07,2008 APPL#;: PA-0800193 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, July 22, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 18621 N SR 99 W FRONTAGE RD,ACAMPO APN: 013-220-35 <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: ')� Ar Public Sewer: i9aY <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 04 <br /> 11:07 Prior to final occupancy <br /> Delete first sentence ADD: An addendum to the SSR/NLS dated December 23, 1998 <br /> shall be submitted to the EHD, incorporating the proposed student population, indicating <br /> that the area is suitable for septic system usage. <br /> 11:05 A.DD:-e_� r'~ ') r &?, (�e �Q{� (t R 5 <br /> 11:03 (a) <br /> 203:02 <br /> I recommend: Approval Denial ❑ Continuance El Inspe or: <br /> Si afore <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> "Prbotread R.e ort - ' . . `'".� °°P 1 "" <br /> OA II Check Oft List - p Correctl,AND USE 4? <br /> CorrcctCONDITION(S)? -'_ . .kyr. o @d SE odk-_1�1 <br /> July 07.2008 <br />