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NOTE: PULL ALL AMITS (Septic, Well, etc.) MAKE G--PIES FOR FILE <br />' LAND USE REPORT RECORD ID: SU0006588 <br /> DATE RECEIVED by EHD: May 31,2007 APPL#: PA-0700256 <br /> Referral Agency STAFF CONTACT: J O PE : 2690 <br /> M1 Ar <br /> o LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <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 snap 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 /> I recommend: Approval Fo� Denial F� Continuance Inspecto : <br /> nature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: d <br /> QA7f <br /> .:.P.-i06 <br /> Co �t L1D f3S.F#E <br /> Correct CO.ITDITf�)1 (S�7; 0 ed ip.L.t1.N1 iJ f3ook? <br /> EH 06 06 Repon 97201 June 01,2007 <br />