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s <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010325 <br /> DATE RECEIVED by EHD: December 15,2014 APPL#: PA-1400243 PRE-APP <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE&SUBMIT BY: Wed, December 31, 2014 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17051 S ESCALON BELLOTA RD, ESCALON APN : 22502009 <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 /> IL <br /> r I recommend: Approval F71Denial F-1 Continuance Inspector: s <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> w► Uu.�,l.c. I,E-an,.t o�s, <br /> Ly L <br /> SUPERVISOR/LEAD SENIOR Approval: Date: l <br /> qOff List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 December 16,2014 <br />