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RT <br /> ' NOTE: PULL ALL PERIV4TS (SEPTIC, WELL, ETC...) A iKE COPIES FOR FILE <br /> LAND USE REPORT APPI PA-04-78 (SA) <br /> EHD RECEr✓ED APP.REFERRAL: 3/04/04 COMPLETE & SUBMIT BY: 3-16-04 <br /> DATE DATE <br /> ATTN: RAY HOO <br /> SITE ADDRESS: 25962 EAST MILLER AVENUE, ESCALON <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> aa:DSS' e, <br /> I recommend: Approval ✓ Denial Continuance Inspector's Signatur / <br /> Supervisor/Lead Senior Comments: <br /> Q <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> �� <br /> EH 06 06 Rev I/99 � s <br /> i x '7 - <br /> .a. a OWN"=n 3 <br />