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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011568 <br /> DATE RECEIVED by EHD: November 03,2017 APPL#: PA-1700252 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Mon, November 13, 2017 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 13822 S ESCALON BELLOTA RD, ESCALON APN: 20732009 <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: ovL Public Sewer: Ndr-4 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> _III I(0�17 I. i .r�QvJ 5�.�z.a SLbs✓r c -` 4 ,�i •, i [Fis� <br /> WI-711-7 Rao"O W Syf Q.4 %Ubav'A.t �o...'i:....•��/4.- KPe.� <br /> lfh7l 17 <br /> A : wit <br /> a 11.6"7 <br /> C% 22:d2 <br /> p Zao:y2 <br /> I recommend: Approval Denial Continuance Inspector: A-el s <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Chck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 06,2017 <br />