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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012076 <br /> DATE RECEIVED by EHD: December 04,2018 APPL#: PA-1600194 <br /> Referral Agency STAFF CONTACT? MEGAN E. AGUIRRE PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE & SUBMIT BY: Thu, December 20, 2018TI�1'2 1,WSl'on <br /> Assigned to : EEO 09488 WONG <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 Purveyor Name of System <br /> SUMMARY OR COMMENTS: ` V pjajJ- <br /> (, I rl <br /> J (S Z l� <br /> r 1 4O-O Yq ! !1 <br /> I recommend: Approva� Denial Continuance Inspector: D� <br /> Signatu <br /> Suoervisor/Lead Senior COMMENTS: p� <br /> ( 0 <br /> i <br /> SUPERVISOR/ LEAD SENIORApproval: Date: - <br /> A II h k OH Li : Proofread Report?_v Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 04,2018 <br />