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NOTE: PULL ALL ERMITS (Septic, Well, etc.) MAKL 'PIES FOR FIL <br /> LAND USE REPORT RECORD ID: SU0007489 <br /> DATE RECEIVED by EHD: November 24,2008 APPL#: PA-0800348 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, December 16, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 21301 N MANN RD, ACAMPO APN : 01728010 <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: -120-71e Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> i <br /> d r <br /> -ef <br /> aa. o <br /> I recommend: Approval Denial Continuance Insp <br /> *-nature <br /> Supervisor/Lead Senior COMMENTS: <br /> 1 , <br /> 1 ( � t <br /> 2 <br /> -Z Z- O, <br /> _`i <br /> SUPERVISOR/ LEAD SENIOR Approval: - Date: <br /> OA Il Cheek Off List: Proofread Report? Correct LAND t?SE#? <br /> Correct CONDITIONS)?_ Logged in LAND USE Book? <br /> EH 06 06 Report 47201 November 25,2008 <br />