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NOTE: PULL ALIRMITS (Septic, Well, etc.) MAKE IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008088 <br /> DATE RECEIVED by EHD: February 01,2010 APPL#: PA-1000013 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Wed, February 10, 2010 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 21812 E DODDS RD, ESCALON 657—gWyrAl�oyV-0 APN: 20521010 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> 3uppiies, etc...). Where necessary, on an attached piece of plain paper, draw complete neap 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 /> 3UMAiARY OR COMMENTS:�����: <br /> 72 . Z/ �o <br /> T f4K <br /> zztapa <br /> G 23 <br /> / /•! LAG <br /> Ate° td cs�"71�?c4� <br /> :0 .mss3 20,f G .G _ <br /> ( recommend: Approval enial Continuance Inspector <br /> Signature <br /> 3u ervisor/Lead Senior COMMENTS: <br /> ca <br /> trr � <br /> -- /ire r1< 2-03 0 2.....-- <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check 0ff Lrst Proofread:Report? - Correet;-LAND 1JS1 #?' <br /> Correct'I ONDIT10N(S}? I Ogg 6d;in LAND U E',Book2 <br /> -1106 06 Report 47201 February 01,2010 <br />