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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013032 <br /> DATE RECEIVED by EHD: February 18,2020 APPL#: PA-1700196 <br /> Referral Agency STAFF CONTACT! STEPHANIE STOWERS PE : 2631 TIME EXtEtJSI�N <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, March 12, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 10173 E ACAMPO RD,ACAMPO APN : 01718012 <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 /> PA - 0002-6q ED0h65 . 101-i I 1�-- A-C4MP0 I,0put) <br /> . <br /> Q 13 L_P ro w.i D Si.) yJ F V'i;^k i - - I : :t 3 ti w I L <br /> P� - ►�o�u ti - N PQ w�s Dt�v.�s� �� ?�;cel -- ��a-�.'��p o P E4��3-ctw.► <br /> Afl9flv.M To s s J N LS <br /> 11 obt q L51\-) F00, �QRST u I <br /> LFrtE--� 9K�- I0 /1_/11 LS M05r 7F�E,ji toNDyi1:0 �S <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> ��Ilhgck ff List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 20,2020 <br />