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NOTE: PULL ALL L-AMITS (Septic, Well, etc.) MAKE L <br /> IES FOR FILE " <br /> LAND USE REPORT RECORD ID: 5U0005641 <br /> DATE RECEIVED by EHD: September 20,2005 APPL##: PA-0500560 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2690 <br /> COMPLETE& SUBMIT BY: s ' �� LOT LINE ADJUSTMENT(LA) <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 26180 N HWY 99 E FR RD, ACAMPO APN : 00512001,03 <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 show, opulation <br /> density, location of house, wind direction, etc.... y <br /> Public Water: Public Sewer: <br /> NWP of Purveyoq J Name of System <br /> SUMMARY OR COMMENTS• ���j � •� ,��� ��/ C..� ,/�� <br /> c ��... <br /> I recommend: Approval Denial Continuance El Ins ctor• <br /> Supervisor/Lead Senior COMMENTS: <br /> / S gnature { <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 0A'11 Check Off trs# Proofread Rep[5rt� `" Co 1VT L�SIi# <br /> ' C9t,CONI?I I IONS}7 =. k '; Logged f LANDS Bo,k7_ s <br /> EH 06 06 Report#7201 <br /> September 21,2005 <br />