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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008866 <br /> DA'I'I' RECEIVED by Flit): August 22,2011 AI'I'L#: PA-1100149 <br /> Refcrt•al Agency STAFF CONTACT: .JOHN L FUNDERBURG PE : 2690 <br /> LOT LINT_AD,IUS'I' 1EN'I'(LA) <br /> COINiI'LETE & SUBMIT I3Y: <br /> Assigned to : EE0004 }45 TASIOPOULOS <br /> SITE ADDRESS: 18719 S BRENNAN AVE, ESCALON APN : 24702023 24 <br /> In c03111plcain, the kmid [_.Ise investigation, draw all Public Health factors on the exhibit (i.e., sewalye disposal_ water <br /> Supplies, etc...). 1Vlicre necessary, on an attached piece of plain. paper, draw complete map of arta shovIilg population <br /> density, location of noose. wind direction., etc.... <br /> Public Nater: Public Seaver <br /> Name of Pu eyor ;�� Name of System <br /> SIJMMAI2'Y OR COMMENTS: <br /> fa <br /> � f <br /> 1 recommend: Approval � Denial � Continuance � f nspecks»- " --_-- <br /> �, riinure <br /> Supetwisnr/Lead Senim-COMMENTS: <br /> ) _ <br /> c1. <br /> SUPFRVLSOR 1 LEAD SENIOR Approval: ��--� � Date: <br /> roofmi Re ort`? <br /> OA I!Check C?fi`List: P... Correct LkND USS #t.7' <br /> Correct CON DUION S <br /> {. ) Logged in LAND USE BQ'bk?: <br />