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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012715 <br /> DATE RECEIVED by EHD: December 23,2019 APPL#: PA-1900281 <br /> Referral Agency STAFF CONTACT: FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, January 9, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 13046 E JAHANT RD,ACAMPO APN : 00727047,00727048 <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: NbN� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> KNAVZT1.1.17PICII." . V. <br /> P to M P r1J(4 L 5 E- G-U) <br /> Uy WL ' ti�c, L-� � � lam- )_ -L-7 <br /> �W�N� c.�Rv` No �tJ�� T WO vo�_a.,� ►.���� <br /> X1, -lv Z_p�.o C <br /> '�u s ,Q, lob a <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <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 Book? <br /> EH 06 06 Report#7201 December 24,2019 <br />