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NOTE: PULL ALL iRMITS (Septic, Well, etc.) MAKE +)PIES FOR FILE <br /> Lf <br /> r LAND USE REPORT RECORD ID: SU0005234 <br /> DATE RECEIVED by EHD: July 15,2005 APPL#: PA-0500428 <br /> Referral Agency STAFF CONTACT: KARLA KUH PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY• EE0005366 MEAINA <br /> labY§ <br /> Assigned to <br /> SAU <br /> SITE ADDRESS: 25444 N SOWLES RD, ACAMPO APN : 00715001&02 <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: rz <br /> Name Name of System <br /> f Pu ve or <br /> SUMMARY OR COMMENTS: ,F <br /> O</,�. T�riF ccr` icy rcr� � <br /> G. <br /> 76 0� <br /> I recommend: Approval Denial Continuance Inspec or- <br /> ,a <br /> Supervisor/Lead Senior COMMENTS: <br /> 4 <br /> k � <br /> ,yR{t <br /> 7 <br /> SUPERVISOR/ LEAD SENIOR Approval: <br /> Date: � <br /> OA It Check Off List: Proofread Report? ': CorrectkAND.U,SB <br /> Correct COND111ON(S)? Logged in LAND USE Book? . <br /> Jul• 13.2005 <br /> t_I106 06 Report 97201 <br />