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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010738 + SyUJ(o(075 <br /> DATE RECEIVED by EHD: January 08,2016 APPL#: PA-1500273 + PA-t5oo;�13 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2666 i' -�-6e7 <br /> REZONING 5+acres(ZR) <br /> COMPLETE&SUBMIT BY: Wed, January 27, 2016 GP <5A,.rey w) <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 22420 N HWY 99/W FRONTAGE RD,ACAMPO APN : 01319005 <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 /> /1Peg <br /> IZE➢�.czZ A4Zo� ,t/�✓�li�� /8r Zee i� <br /> I recommend: Approval [2/ Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ( 2-C' ? <br /> OA 11 Check Off List: Proofread Report? Corrcct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 1:1106 06 Report 47201 January 09,2016 <br />