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I I NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010760 <br /> DATE RECEIVED by EHD: January 22,2016 APPL#: PA-1600008 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE &SUBMIT BY: Wed, February 10, 2016 <br /> Assigned to : I:IS0005934 ESCOTTO <br /> SITE ADDRESS: 24511 N HWY 99 /W FRONTAGE RD, ACAMPO APN : 00516015 <br /> In completing the Land Use investigation, draw all Public Hcalth factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete snap of area showing populatiol <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 /> Gam/ (45� 71eiiA�4; t� 2W& v Ti t.4i=,< 9ws <br /> «22c7uTcy,�,42i1� <br /> .fro 4.4i�Zi oz &�tt7 t—is� of c ir.✓i ��i� <br /> spy/.'d ad%/ �1°J1L03a ZZ, je: l; tc �inf cup��y <br /> i <br /> ('G3t.�/lfgn/(y �rL C�aif/fl�,7tnfe5 �' /�.l..�LfG CC-ELG <br /> I recommend: Approval Denial Continuance Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> !-n t55u-cyhao �V F' <br /> TtiV <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 2— f <br /> EH 06 06 Report#7201 January22 <br />