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NOTE: PULL ALI :RMITS (Septic, Well, etc.) MAKE,d PIES FOR FILE <br /> LxII�D USE REPORT RECORD ID: S00007075 <br /> DATE RECEIVED by EHD: March 21,2008 APPL#: PA-0800081 PRE-APP Pre-Applica <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2691 <br /> GP AMENDMENT 10+acres(GP) <br /> COMPLETE & SUBMIT BY: Wed, April 9, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 20201 N HWY 99 , ACAMPO APN : 01321019 <br /> 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 /> PublicWater: . Public Sewer: <br /> Name of Purveyor Name of System <br /> MMARY OR COMMENTS: <br /> --- c J,> C�+�i t .� i 3 C�2 �_ 1 6►'f f , ,�.r _.s.tom__ <br /> -7;r <br /> I recommend: Approval Denial Continuance Inspector: ' <br /> Signature <br /> 'Supervisor/Lead Senior COMMENTS: <br /> a G.r -s-14 <br /> o k" , —:7 AJO ; O o " cern S <br /> 471 <br /> SUPFRVISOR/ LEAD SENIOR Approval: , Date: _.r- _ a <br /> OA it Check Off List: Proofread Report'.? LAND USE- <br /> Correct <br /> SECorrect CONDITION(S)'! Logged in LAND USE Book? <br /> FH 06 06 Report#7201 1'r Ac <br />