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• NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010760 <br /> DATE RECEIVED by EHD: January 22,2016 APPL#: PA-1600008 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Wed, February 10, 2016 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 24511 N HWY 99/W FRONTAGE RD, ACAMPO APN: 00516015 <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: ` /-,/o ��itFF�GZi//S 1rr7 <br /> Gam/ f � rc4J ' Ct <br /> C'L/2gt7uTGf�Pal��r� <br /> iCJO C�J�7i dL LLtJ C.�fSZc l.SSC�rS OF ccwE'E7r.✓/�20� <br /> a,.(drzf�ls� .�{fL Cr.Yfir��ilfc5 T1' f�l�tGCr-ELL <br /> I recommend: Approval Denial Continuance Inspector <br /> F <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> �kl 1\ ' h� ��tin ,y 155 -tVna� P <br /> SUPERVISOR/LEAD SENIOR Approval Date: L j <br /> OA 11 Check Off List: Proofi ead.Report'? orrect LAND USE#? - <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 January 22,2016 <br />