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NOTE: PULL ALL,,2RMITS (Septic, Well, etc.) MAKE, ,OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005934 �L <br /> DATE RECEIVED by EHD: February 28,2006 APPL#: PA-0600101/PW-01,-00099AVj <br /> T 933 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 Synoo.s <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: ,TU%March 291 2006 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26222 E MAHON AVE,ESCALON APN : 22702013 <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: 3r /, S/06. <br /> "�2 O <br /> zZ . CJ2 — <br /> I recommend: Approval ® Denial ❑ Continuance ❑ Inspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 03 4 <br /> I Z2 :o <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 3? O <br /> EH 06 06 Repon#7201 February 28,2006 <br />