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1 <br /> NOTE: PULL ALL P-.–AMITS (Septic, Well, eta.) MAKE G-4113 FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006477 <br /> j DATE RECEIVED by EHD: March 15,2007 APPL#: PA-0300662 <br /> Referral Agency STAFF CONTACT: CORINNE BOGGS PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, April 3, 2007 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17263 S HENRY RD, ESCALON APN : 22926001 <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 /> v a7 <br /> I recommend: Approval Denial Continuance Inspe <br /> ure <br /> Supervisor/Lead Senior COMMENTS: <br /> 4 <br /> r <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> oa fi.:c a <br /> -.49 <br /> Off; rsf` <br /> EH 06 06 Report x#7201 March 15,2007 <br />