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r <br /> NOTE: PULL AL :RMITS (Septic, Well, etc.) MAKI JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005730 <br /> DATE RECEIVED by EHD: October 26,2005 APPL th PA-0500710 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 xr <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, November 15, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 25050 N WILD HARE LN, ACAMPO APN : 00310025 <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: "Z� Public Sewer: <br /> Name of Purveyor,/ Name of System <br /> SUMMARY OR COMMENTS: U� <br /> vyrs/ir Qc�rlo/:1 i�Ti 025&4 y =n!'2�lo? <br /> 9� y <br /> :X-4: 7f <br /> — D`ri <rrFoi 7!C- /moi <br /> . "�;� i" r ��i�/��r' .fir i•// ",.; �F�-/� c�tap�"i —�j �-���Ji�.''c/P�' E?is�c�%��/moi .�k'•�'✓� <br /> I recommend: Approval Denial Continuance Inspecto : �c� <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> D <br /> B <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: <br /> Date: <br /> t <br /> Proofread Report?OA 11 Check Off List: <br /> ,% COrre611AND USE#? <br /> kL Correct CONDITION(S)? Logged in LAND USE Book? <br /> 06 06 Report#7201 October 27,2005 <br />