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• NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011323 <br /> DATE RECEIVED by EHD: April20,2017 APPL#: PA-1700043 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Tue, May 9, 2017 <br /> 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 r Name of System <br /> SUMMARY OR COMMENTS: <br /> ' d -�? <br /> 2z v 2 <br /> 7-7- e j amu-t /IF *La <br /> ��y o <br /> b <br /> .e-- <br /> I recommend: Approval ® DenialEl Continuance Inspecto El <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: ' <br /> 1'o <br /> 2 %oZCa) <br /> -,d <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 116 06 Report#7201 April 24,2017 <br />