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NOTE: PULL ALLY RMITS (Septic, Well, etc.) MAKE ...2PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005899 <br /> DATE RECEIVED by EHD: January 31,2006 APPL#: PA-0600033 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, February 14, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 10112 E WOODBRIDGE RD, ACAMPO APN : 01723001 <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: ",-,)1124 Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS <br /> C<e <br /> /i.' / <br /> ✓i•�:S/� 7 � �„oi�i cx�-�L.���-� iX� c,�i>•iv>�ti��s-1.,.-, �i,�P,G?��1�. <br /> /I,{K�ecommeend: Approval Denial ElContinuance ElInspoctor: <br /> V—%&? <br /> te -I n'r- 'gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> 1�J <br /> (” g�jHn <br /> `S 41 <br /> (4 5 S <br /> SUPERVISOR/LEAD SENIOR Approval: Date: J, <br /> EH 06 06 Report#7201 January 31,2006 <br />