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NOTE: PULL ALL 0-c-01MITS (Septic, Well, etc.) MAKE 4_ IES FOR FILE <br /> LAND USE REPORT RECORD ID: S00005621 <br /> DATE RECEIVED by EHD: September 12,2005 APPL#: PA-0400450 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, October 4, 2005 <br /> Assigned to : EE0005366 MED[NA <br /> SITE ADDRESS: 9501 E JAHANT RD, ACAMPO APN : 00731011 <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 /> Nameo�l'urveyor _ _ �, Name of System <br /> SUMMARY OR COMMENTS: <br /> / r <br /> I recommend: Approval Denial Continuance 'Inspector: '�Y ,' ; <br /> Signatu, e <br /> Supervisor/Lead Senior COMMENTS: <br /> I 6� <br /> girl — P �Wl <br /> F 2Z o <br /> F ) Zoey rw> Ty _ <br /> SUPERVISOR LEAD SENIOR Approval: - ' Date: 12 <br /> OA 11 Check Off List <br /> Ptnafrehd Report? Correct LAND USE#? -'" "_ '-, <br /> Correct CONDITION(S)? .Logged in LAND USE Book? •- . ...,. <br /> EH 06 06 Report#7201 September 15,2005 <br />