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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011320 <br /> DATE RECEIVED by EHD: Apri117,2017 APPL#: PA-1700043 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE& SUBMIT BY: Wed, April 26, 2017 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26639 E JONES RD, ESCALON APN : 24718012 <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: '/� /y S� <br /> / / O� <br /> � vo15- — e S aL o3 <br /> ZZ <br /> Z2,A`1 — 1, - <br /> 9-,1 J 7ez L414 <br /> - <br /> I recommend Lance Inspector: <br /> 'r Signature <br /> Supervisor/Lead � <br /> t> r <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Ch,,k OS List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 18.2017 <br />