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' NOTE: PULL AL1_ RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007966 <br /> DATE RECEIVED by EHD: November 02,2009 ADPL#: PA-0900264 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Wed, November 11, 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: �j�?ij� _ Public Sewer: <br /> I Name of Purveyor Na e of System <br /> SUMMARY OR COMMENTS: <br /> 3 <br /> r <br /> I recommend: ApprovalfF Denial 0 Continuance Insp ctor: <br /> 5ignat e <br /> Supervisor/Lead Senior COMMENTS: <br /> A121 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: t I <br /> Praofre Report? ry P_G�nr USE <br /> t� orrectCONDLTION(STten... N per. hiLANDUSE B©o)C�'° <br /> EH 06 06 Report#7201 November 03,2009 <br />