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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009320 <br /> DATE RECEIVED by EHD: August 20,2012 APPL#: PA-1200136 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Wed, August 29, 2012 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 108 E TADDEI RD, ACAMPO APN : 01313025 26 <br /> [n 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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> -SIE riris�z-�) : l9/t,/iyl - <br /> 7A ?E ./�/1c�1 /CES �n{CY.I Zca(/iLGJr.�s—Y2y ,4�vh Tits7.ybilt�a✓/ t�saT <br /> 4r Zc�sYSZc me gg 4ct2z,,. lZeirm <br /> TIF SlUit Ldc .--665N RAi5a InC -r i 4F-�rc Pnc�7� .✓ <br /> y �trfi2c IKI-76EO !l eal�elli,1-Ak 4-3 117e7vf s eG,tinr� s ,r7r3li�r.,,5 <br /> 70 s�7,F, <br /> I recommend: Approval E2 Denial ❑ Continuance Inspector: , <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> L <br /> ! YY 6 / <br /> SUPERVISOR/LEAD SENIOR Approval: Date: /7 <br /> Proofread Report?__ "- ----_-Correct r�Tl <br /> OA If Check OH List: LAND USE#? <br /> Correct CONDI I10N(S)? logged in LAND USE book? <br /> �H 06 06 Report P7201 Augusl 21.'_01= <br />