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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE 4 IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006613 <br /> DATE RECEIVED by EHD: July 03,2007 APPL##: PA-0700293 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE. 2627 <br /> USE PERMIT-MAJOR(UP) <br /> COMPLETE& SUBMIT BY: Wed, July 11, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17495 S CARROLTON RD, ESCALON APN : 20507020 <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 /> Zl_r z_ �.,/ �`-'j� I..�-SGL►.- a�.,w�o � a <br /> a <br /> - <br /> w <br /> ZZ: QV -- �t.P� ✓ "' as .� 1'1e.t'- w <br /> 1.. recommend: Approvalenial Continuance Insp <br /> gnature,_._.._.--� <br /> Supervisor/Lead Senior COMMENTS: 11"'-05 ce: ' — C <br /> ae, 22.,o 7 <br /> 9W Lv � •�� his fw1 WOW <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> t�tresd , <br /> tl Ch ;.ik 4ff:tlst � _� " reek I � #? <br /> Colrect CONI TTI�S1���?��� dogged in GAN�:US Bo6k� <br /> E <br /> -1106 06 Report N7201 July 05,2007 <br />