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NOTE: PULL AL�._,,!ERMITS (Septic, Well, etc.) MAKE-t-S&PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008438 <br /> DATE RECEIVED by EHD: September 08,2010 ADPL#: PA-1000200 <br /> Referral Agency STAFF CONTACT: ATEF PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> - Assigned to: RE0004045 TASIOPOULOS <br /> SITE ADDRESS: 19801 S BRENNAN AVE, ESCALON APN : 4001,02 03 <br /> zq-y-m <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 unley r Name of System <br /> SUMMARY OR COMMENTS: t 3 <br /> 0-1 <br /> vv <br /> v� <br /> I recommend: Approval ( Denial Continuance Inspectv •�'� <br /> - <br /> Sui)ervisor/Lead Senior COMMENTS: <br /> vQ yr VLA I <br /> SUPERVISOR/LEAD SENIOR Approval: Date: �1 <br /> OA, �hec�r Ofii List < fi'ro�7fted <br /> / Rporl?' $6 °g i EXo errerr ct 1A <br /> V <br /> ` "k "r 'D#., .s' <br /> EH 06 06 Report#7201 <br /> September 08,2010 <br />