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NOTE: PULL ALDA-mdRMITS (Septic, Well, etc.) MAKE w4PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005908 <br /> DATE RECEIVED by EHD: February 07,2006 APPL#: PA-0600035 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, March 7, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 18767 N HWY 99 ,ACAMPO APN : 01322018 <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: ay�l� f IO-- <br /> ate: o <br /> I recommend: ApprovalET Denial F-1 Continuance ❑ In cto <br /> *nature <br /> Supervisor/Lead Senior COMMENTS: <br /> /lam I c� r <br /> Z Z 2 <br /> C IJ <br /> - <br /> �i v rt <br /> SUPERVISOR/ LEAD SENIOR Approval: f / Date: <br /> OA'I�Check Off List: Nrooliead Report? Correct LAND USE#7 - -- <br /> Correct CONDITION(S)? Logged in LAND USG Book? <br /> EH 06 06 Report#7201 February 07,2006 <br />