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NOTE: PULL ALLY_ - <br /> RMiTS {Septic, Well, etc.} -MAKE k,-PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008383 <br /> DATE RECEIVED by EHD: July 28,2010 APPL#: PA-1000167 <br /> Referral Agency STAFF CONTACT: KEVINS SWANSON PE : 2622 <br /> COMPLETE&SUBMIT BY: Tue, August 17, 2010 SUBDIVISON-MINOR(MS) <br /> Assigned to. EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18112 S BRENNAN AVE, ESCALON APN: 22504001 <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: z---- Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> v <br /> Ji fl'� 5�u-t r <br /> e <br /> � r <br /> [ recommend: Approval Denial Continuance Insp <br /> Supervisor/Lead Senior COMMENTS: s aat�re <br /> LA- <br /> 2—0 <br /> 2-0 40 <br /> c' v '� <br /> tat2 ' O / A2 <br /> SUPERVISOR/LEAD SENIOR Approval <br /> -DatOAIlCfiek{1€lfsf' I'xc€fre:�d'Eiepo � ... .n e ,. .. " <br /> rs" €bik�i'?t 4744RA- <br /> l;Q:NDIT�IDt(.� '' M.i '@. -,"�` ° s#Sec4fs E� Po WIN <br /> EH 06 06 Report 97201 <br /> July 29,2010 <br />