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NOTE." PULL Ak ERMITS (Septic, Well, etc.) MAK OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007659 <br /> DATE RECEIVED by EHD: March 30,2009 ADPL#: PA-0800266 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE ; 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE & SUBMIT BY: Wed, April 15, 2009 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 100 E TADDEI RD, ACAMPO APN : 01313023 <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: ZZyr T_ Public Sewer: 19-1k21-1 <br /> Name of Purveyor Name of System <br /> SUMMARY O COMMENTS: <br /> f/.'4�� - .•^ �r.�' � �-. - _ ./ fir' <br /> �5 76 _ Z i 2��-sem <br /> I. recommend: Approval DenialContinuance Insp�c,tor:''f <br /> 5i nat re <br /> Supervisor/LeadSenior COMMENTS: <br /> r <br /> �P <br /> LA) V 15ilff�� 441111 <br /> r � , <br /> ,$ l 4,3 a .55-S NGS II <br /> 11 > �s . C-p c �C <br /> Zz � <br /> 27T3 o Z <br /> � f <br /> SUPERVISOR/LEAD SENIOR Approval: Date: /6 <br /> OA II Check off I ist Proofread Report?: Correct T AND USE#?; <br /> w - <br /> k C:nrrcct CONDITIO (S) .. I,©gged'rn LAND USE Book.?' , <br /> EH 06 00 Report 97201 March 30.2009 <br />