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NOTE: PULL ALL P..MITS (Septic, Well, etc.) MAKE C.,tES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006401 <br /> DATE RECEIVED by EHD: January 23,2007 APPL#: PA-0500306 TE <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, February 13, 2007 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 151 W TADDEI RD, ACAMPO APN : 00317010 <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: /7Ydo Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approva Denial ❑ Continuance F Inspector: <br /> S gnature <br /> Supervisor/Lead <br /> Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: — Date: k>e <br /> EH 06 06 Report#7201 January 23,2007 <br />