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NOTE: PULL ALL CRMITS (Septic, Well, etc.) MAKE d6PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004601 <br /> DATE RECEIVED by EHD: August 05,2004 APPL#: PA-03-678(REV) <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, September 7, 2004 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 24720 N SOWLES RD, ACAMPO APN : 00715029 <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 of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval F-1 Denial Continuance F-1 Inspector: <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA/l Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page I August 06,2004 <br />