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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011795 <br /> DATE RECEIVED by ERD: May 08,2018 APPL#: PA-1800114 <br /> Referral Agency STAFF CONTACT? ALISA GOULART PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, June 5, 2018 Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 18200 S HENRY RD, ESCALON APN : 22926027,22926030 <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: r✓c, Public Sewer: , <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 6AZZ-0It e 9 V e Re 'rW: nrl ,veils or Ie/�dY eepm. -f <br /> 61y/tri/jr- S,}e Yi3.'f: /�4'eel lya+S•��S o/ u/mukw <br /> — ohso.•,,, J so^,t- 0Pgw,pn.,e,,,,f-S a..vl rewye6,5cle <br /> - 06ser'—d fywwytrl S+.tt-UXn <br /> eOrns�'l.ph.'fs : ,SH <br /> 11111 1 ( : 03 <br /> I1,a(o z.2zol <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> G�e Lnl- <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 10,2018 <br />