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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009765 <br /> DATE RECEIVED by EHD: September 19,2013 APPL#: PA-1300136 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, October 8, 2013 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 22832 N HWY 99 , ACAMPO APN : 00518057 <br /> [n 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 /> Al /Y / ss,� Ff93 .c��clateAJ-Aa-,� .—O Zowlk uy7lfxs -O /Z�76 a/ L 53 2 9//I .-AM -2- . <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> QS ' ccv� �1en� !� a ✓rn a .sl ut (� I, c /eytn h4��o� Mt (- <br /> 2- <br /> ,I <br /> -,2-,I PLR%ISOR/ LEAD SEN1012 Approval: Date: j L{' N- ' <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#9 <br /> Correct CONUIf110N(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 19,201 i <br />