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NOTE: PULL ALL PVRMITS (Septic, Well, etc.) MAKE CsfP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006214 <br /> DATE RECEIVED by EHD: December 12,2006 APPL#: PA-0600444 REV <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, January 2, 2007 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 18879 N LOWER SACRAMENTO RD, WOODBRIDGE APN : 01514015 <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 dir ction, etc.... <br /> Public Water: ��� / Public Sewer: /� ,o Ste ' <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> c <br /> I recommend: Approval Denial Continuance nspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> O - q <br /> iUPERVISOR/LEAD SENIOR Approval: Date: Z l <br /> :H 06 06 Report#7201 December 12,2006 <br />