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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013695 <br /> DATE RECEIVED by EHD: October 09,2020 ADPL#: PA-2000120 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, October 29, 2020 <br /> Assigned to: EE0007380 SHIH <br /> SITE ADDRESS: 5950 E WOODBRIDGE RD,ACAMPO APN: 01709058 <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: Alooc Public Sewer: N�.c <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> V,W4 r2C) /3 s�3, Stk)c) /3!o 28. <br /> '- �✓d �rt� d ,'�- On,/'l���ot CIKr( /�<vl.r � 7 r�'.a J sr., � <br /> �D.�c<<'�it1'� tl� R/t/+ir r•( /P��r Gia�� ���✓b� Z/ Ld � 3�/l i%t r�iG� <br /> I recommend: Approval ❑ Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> � Ajl Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 12,2020 <br />