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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010312 <br /> DATE RECEIVED by EHD: December 01,2014 APPL#: PA-1400235 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Mon, December 15, 2014 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18915 N HWY 99 , ACAMPO APN : 01322016 <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: G'Ne <br /> S J�� 5 0� a -S p�✓vt <br /> I recommend: Approval f� Denial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> C.& <br /> v�F <br /> VT V- <br /> i I : � ( - 5 5 � 'ft- ' a � Ti�t dr S u�wr•� � �-p-���- w�f' <br /> Y�o�,A- 1 6 rA- ,..z wt, <br /> Tt v,,,4- <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 01,2014 <br />