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NOTE: PULL ALL'-...RMITS (Septic, Well, etc.) MAKE .-,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004597 <br /> DATE RECEIVED by EHD: August 04,2004 APPL#: PA-04-425 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, August 17, 2004 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 26174 N TULLY RD, ACAMPO APN : 02103045 <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 /> a <br /> is <br /> I recommend: Approval Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: �� <br /> D <br /> ZI <br /> S: ol <br /> Lj <br /> SUPERVISOR/LEAD SENIOR Approval: / ��; Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Hook? <br /> EH 06 06 Report#7201 Page 4 August 06,2004 <br />