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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010394 <br /> DATE RECEIVED by EHD: February 13,2015 APPL#: PA-1500020 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, March 3, 2015 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 24011 E DODDS RD, ESCALON APN : 20715006 <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 /> /�'�� - 5 y�Y/�s ✓ ter. -�,�,•�-_ r 2`�6 : O;L- , 2 0 6 0 3 ✓�,�? r P ed <br /> «7 <br /> imend: Approval ® Denial Continuance Inspector <br /> Supeurervisor/Lead Senior COMMENTS: - <br /> X41 1 d i s e rD <br /> AG' S S iNJk,e" Z 4,L.-., r,,o L���vt� L <br /> I l l v � 5 t�,.1�,�,L (��.S <br /> Z <br /> SUPERVISOR/LEAD SENIOR Approval: Date: � <br /> OA 11 Check Off Ust- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 18,2015 <br />