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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011739 <br /> DATE RECEIVED by EHD: Apri102,2018 APPL#: PA-1800074 <br /> Referral Agency STAFF CONTACT MEGAN AGUIRRE PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Tue, April 17, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 112 E TADDEI RD,ACAMPO APN: 01313028,01313027,01313026 <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: P r �-J Public Sewer: <br /> Name of Purveyor / Name of System <br /> SUMMARY OR COMMENTS: 0130()?,$ l l2 =' J Q 1 3�Z 01313�2S 0( 3)3v z( <br /> I <br /> 1 efa S tlrS 01313023 !✓p� <br /> lam. <br /> Z4bnr <br /> !'ti a� st Spar- d �l <br /> bcb K -rk o'p-s n <br /> ak r C e uJi 1 � Ev <br /> Ge 111N1 P s U YJ <br /> I recommend: pprova ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ,6P,� din biz. 4M6 , 36L <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A11 h K ff Li : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> GH 06 06 Repor[47201 April 03,2018 <br />