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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010668 <br /> DATE RECEIVED by EHD: October 16,2015 APPL#: PA-1500177 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: QV15 <br /> �*"�-s Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 151 W TADDEI RD,ACAMPO APN: 00317009, 10,54 <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: <br /> GdNSr 7c JI�K�haTt L 127 C3� <br /> e!22 i o 740-1 Cir 4 � GtJlhr IS.aozl� T ail �i r4 L��� .s � <br /> /Z14CeZ X�J- !+ Ant- s -d' <br /> S�Z€i}Z61 Cv/7r. l� 4 %7�5/ PB"2W ,f ` Zlc 54fsZ[7n 4-r9-G, /�f` M4o�G✓1r3 <br /> cs:ls/szs C zz /fi <br /> els . <br /> I recommend: Approval Denial Continuance ❑ Inspecto _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A1I Ch k ON List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 21,2015 <br />