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} <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE CDPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006054 <br /> DATE RECEIVED by EHD: May 23,2006 ADPL##: PA-0600267 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: ASMAP-Eff <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 9380 E SOUTH ORCHARD RD,ACAMPO APN : 01721009 <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: p Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: •Approval enial' E] Continuance F-1 Inspe <br /> Sigoat re <br /> Supervisor/Lead Senior COMMENTS: <br /> U G <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> - <br /> . oo <br /> EH 06 06 Report#7201 May 23,2006 <br /> h <br /> } <br />