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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009596 <br /> DATE RECEIVED by EHD: March 29,2013 API PA-1100124 TE <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, April 16, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 6535 E PELTIER RD,ACAMPO API 00526045 <br /> [n 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 /> I recommend: Approval Denial Continuance ❑ Inspecto <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> All <br /> J <br /> SUPERVISOR/LEAD SENIOR Approval: ro /t�t Date: 41 `1 113 <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> - April 02,201_ <br />