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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010435 <br /> DATE RECEIVED by EHD: March 27,2015 APPL#: PA-1500047 <br /> Referral Agency STAFF CONTACT: EGA�AF-41li l; PE : 2690 <br /> W" LOT LINE ADJUSTMENT(LA) <br /> lip <br /> COMPLETE& SUBMIT BY: � <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 19750 N LOWER SACRAMENTO RD, ACAMPO APN : 01318050 52 53 01323006 <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: —1--2- �C7d- Qh Klj zelac 'Wj Ute/ �� f h?/X <br /> -'4 --in 4?J ezj � <br /> S 2. <br /> .w <br /> I recommend: Approval Denial Continuance ❑ Inspector. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> cig <br /> SUPERVISOR/LEAD SENIOR Approval: Date: w 1> <br /> k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 30,2015 <br />