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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011698 <br /> DATE RECEIVED by EIID: March 12,2018 APPL#: PA-1800050 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, March 28, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 12110 E JAHANT RD,ACAMPO APN : 00728046 <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, plain paper, drpr comyplete map of area showing population <br /> density, location of house, wind direction, etc.... ;(&(M p FR lfc l^^ /-e7fy v j Ay <br /> Public Water: �Q_ PublicySewer: ly��� <br /> Name'of Purveyor �ytJ foo-F,( � Name of System <br /> SUMMARY OR COMMENTS: Vv P Quo ZT-?,�g <br /> S <br /> W t) VJ o %V dY1 r ro C b rs od <br /> vtt' S cs �� �' � J'OAJ <br /> .�1 n.�� i�✓1^2S <br /> ©a cif d l <br /> I recommend: Approval Fq Denial Continuance ❑ Inspector: <br /> �g ure <br /> Supervisor/Lead Senior COMMENTS: 12 / <br /> E <br /> SUPERVISOR/LEAD SENIOR Approval: eLkDate: <br /> A 1l heck ff List., Proofread Report? Correct LAND USE#? <br /> t� f <br /> CorrectCONDITION(S)? ( Lo ook?. (• <br /> EH 0606 Report r.7?Ol0C) � March 13,2018 <br />