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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010311 <br /> DATE RECEIVED by EHD: December 01,2014 APPL#: PA-1400233 <br /> Referral Agency STAFF CONTACT: R 1 F PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Momr-IDT " <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 20550 N TRETHEWAY RD, ACAMPO APN : 01725013 14 <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: ;ze fLJ lGE�L 6- �� �yJUQ. Gc�95�E ��75 <br /> 1! 7e Z-A/514-z60�J . �izlg <br /> w�1W.4 .12FML s u�Sliri 91 4 <br /> nm. r.�i;A, /ZES nt�/�r��li?� A .{�'}�Z�G ��sTs►?fi 4 <br /> .c/d Z r--ZL at 4JAZ Zz,+SI ISSN<�s c �.✓c�-x.J <br /> I recommend: Approval F;� Denial F-1 Continuance F-1 Inspec r• = <br /> Signature <br /> Suaervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: o <br /> List; Proofread Report? Correct LAND USE#? <br /> ck Off Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 01,2014 <br />