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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012250 <br /> DATE RECEIVED by EHD: May 28,2019 APPL#: PA-1700043 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, June 12, 2019 <br /> Assigned to : EE0009825 AFONSKAIA <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: /V'p KLL— Public Sewer: o Vue <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: Fr-le— -e-v, ems; we ( —l1-zir-� C <br /> 0/vl1 2 ►� fez �-��, s �e��-� <br /> ce_ fkL <br /> e b-s i-- 4 <br /> so"-1 V-L <br /> I recommend: Approval ❑ Denial ❑ Continuance M Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 09,2019 <br />