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NOTE: PULL ALL 3RMITS (Septic, Well, etc.) MAKE �PiES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008985 <br /> DATE RECEIVED by EHD: November 28,2011 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN APPL#: PA-1100223 <br /> PE : 2690 <br /> COMPLETE&SUBMIT BY: . LOT LINE ADJUSTMENT(LA) <br /> -ASAFR <br /> SITE ADDRESS: 26519 E JONES AVE, ESCALON Assigned to : EE0004045 TASIOPOULOS <br /> APN : 24718002 03 <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 dir tion, etc.... <br /> Public Water: ` c Public Sewer: <br /> SUMMARY OR COMMENTS: �— <br /> Name of Purveyor Name of System <br /> ff2 two <br /> � E <br /> ck (AF Mc . <br /> 1 recommend: Approval Denial ❑ Continuance <br /> ❑ 1 � - -- <br /> Sul2ervisor/Lead Senior COMMENTS: rature <br /> d <br /> --------------------- <br /> SUPERVISOR/LEAD SENIOR Approval: / <br /> Date: <br /> OA /Check Off List - Proofread Repoe '. Correct LAND USF 0 ? <br /> Correct CONDITION(S)9 Logged is LAND USE Book? <br /> EH 06 06 Report 07201 <br /> November 28.2011 <br />