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NOTE: PULL ALL I ;MITE (Septic, Well, etc.) MAKE C IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008958 <br /> DATE RECEIVED by EHD: November 07,2011 APPL#: PA-1100211 <br /> Referral Agency STAFF CONTACT: RICI G . FFIIy„_ <br /> PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> ` Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 25062 E ARTHUR RD, ESCALON APN : 22502037 38 <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: 'y a SV4 o, <br /> � L,L�lrs,� 611 <br /> Sn/Sy S 2u.w.� w <br /> v (t( ACwA-*- 617 SK 6/116 <br /> I recommend: Approval ® Denial Continuance Ins e <br /> tgnature <br /> Supervisor/Lead Senior COMMENTS: <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: _ ���%' ;' Date. <br /> OA II Check ON List: Proofread Report? Con'ect LAND USE It <br /> Correct CONDITION(S)? - Logged in LAND USE Book? <br /> EH 0606 Report#7201 <br /> November 07,201 1 <br />