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NOTE: PULL ALLERMITS (Septic, Well, etc.) IYIAKE"cOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007613 <br /> DATE RECEIVED by EHD: February 27,2009 APPL #: PA-0904034 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE: 2690 <br /> COMPLETE& SUBMIT BY: ASAP <br /> LOT LINE ADJUSTMENT(LA) <br /> - <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 6374 E JAHANT RD, ACAMPO APN : 04526003 5152 <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: , , -; I <br /> RC1 <br /> Y5 <br /> ���i`%�/ moi���l��G .. ���✓� L Frl����C1C�S �, <br /> I recommend: Approval Denial Continuance Inspects <br /> signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> X/9) <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 3'r sfrad B Qrt <br /> OA�!Ctrek Off I # Corrects A D U5 <br /> EH 06 06 Report#7201 February 27,2009 <br />