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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008085 <br /> DATE RECEIVED by EHD: February 01,2010 API PA-1000012 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, February 16, 2010 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26639 E JONES AVE,ESCALON APN : 24718003 <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 /> I iensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name ofPury yor Name of System <br /> SUMMARY OR COMMENTS: {t P17511,,4— <br /> r � eX.l <br /> z . <br /> C ft <br /> �_M— �,_,._.. <br /> [ recommend: Approval © Denial Continuance Inspect%., '' <br /> Signatyse> <br /> Supervisor/Lead Senior COMMENTS: ` . <br /> 0 <br /> SUPERVISOR I LEAD SENIOR Approval: Date: 7j <br /> _ - Proof7ead Re brt7 .. _. . <br /> OA H Check Oh G/sh . P Correct LAND'I)S6 <br /> ' Correct.CONDITION(S).7 '. . Loggediq:LgIJ))USE Boo <br /> iH 06 06 Report 07201 February01,2010 <br />