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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009026 <br /> DATE RECEIVED by EHD: January 06,2012 APPL#: UP-970016 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE & SUBMIT BY: Tue, January 17, 2012 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5950 E WOODBRIDGE RD, ACAMPO APN : 01709058 <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 /> -j rrz <br /> I recommend: Approval Denial Continuance Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> % G u ll� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z <br /> OA 11 Check OH List Proofread Report? - Correct LAND CSF.4 ? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 10,2012 <br />