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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011043 <br /> DATE RECEIVED by EHD: September 07,2016 APPL#: PA-1600188 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, September 20, 2016 Re"VA <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 10283 E BRITTANY LN,ACAMPO APN : 00707049 <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 /> I recommend: Approval Denial Continuance Inspector. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> �t.PiC L�Ii9ati c) 5 <br /> SUPERVISOR/LEAD SENIOR Approval: A �_ Date: Z <br /> A If Check Off List: Proofread Report? rj Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 08,2016 <br />