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t I <br /> NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006619 <br /> DATE RECEIVED by EHD: July 03,2007 APPL#:_PA-0700256• Si:Saw I-RAJ_ <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Tue, July 3, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 28103 E DODDS RD,ESCALON APN : 20713004 05 01 <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.... —J <br /> Public Water: �� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: sliYLo� <br /> -Z-az�' <br /> I recommend: Approval Denial Continuance Inspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Aj6 - <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> bA II.Ch�ecJi Ol`f Lisi:: Proofread Reports horKecDTE#7 <br /> e. <br /> correctYCQNDITIO:IV S I oggeJ tzi LA Boob: <br /> EH 06 06 Report 117201 July 05,2007 <br />