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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009195 <br /> DATE RECEIVED by EHD: May 18,2012 APPL#: PA-1200063 RE <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Wed, June 6, 2012 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 151 W TADDEI RD,ACAMPO APN: 00317010 54 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: zk ��d, LL A5'(r 1 Zje�z/, e,l e2� 16TI 4ST-/Z'�P20/74c <br /> g�Ek/sI/4; 4e)/.449, 4*741, I-6rLrt . .t2 1e-,S szrsn e 4.5t- e'Ac,62) t15gat Lia/ren z. <br /> l�i.��,gJOvZWlttcid6e{L T.r�ce2w �Cca .L�7y`�1d:p, i1ai+l t� dSE-�r2?cc� <br /> , <br /> CGISZr-✓1Jt't ls,�S?� T�,XTCiLC�T� u� �t3[)/� <br /> - /Ir�t�fl4Zc�: A1.A.r/ /�-aLnun �o a Sss� ,S �►:•9�5-�>� ZssL�`A�J/7cru'?C./h34CF7>� <br /> [ recommend: Approval Denial Continuance Inspector. _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Ss� was741 <br /> t <br /> L� 11 •'�3 ��-) <br /> SUPERVISOR/LEAD SENIOR Approval: Date: �Z <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 4? <br /> Con'ect WWI IION(S)'? Logged in LAND USE Book? <br /> flH 0606 Repon#7201 <br />