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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010433 <br /> DATE RECEIVED by EHD: March 27,2015 APPL#: PA-1500048 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Wed, April 15, 2015 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 19750 N LOWER SACRAMENTO RD, ACAMPO APN : 01318050 51 52 53 <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: <br /> 5 '4q�*'t <br /> i <br /> f�J vh1t� Ali✓4& <br /> r <br /> I recommend: Approval E�' Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ej 0/,lis 71e5✓16 LAW7 4 47� 3 hst e:,-17A"s <br /> �I .-UZ <br /> �3 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> ,q Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 30,2015 <br />