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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013185 <br /> DATE RECEIVED by EHD: April 15,2020 APPL#: PA-1900304 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, May 14, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 7099 E PELTIER RD,ACAMPO APN : 00526061 <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: f o n t Public Sewer: w 0�f <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: M GI q-j�6 LTJ APPLLC.A fi�n� <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> at y J�� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off Li Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 21,2020 <br />