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NOTE: PULL AL:�ERMITS (Septic, Well, etc.) MAKL_ OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00007676 <br /> DATE RECEIVED by EHD: April 13,2009 APPL#: PA-0900082 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PF, : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, May 5, 2009 <br /> Assigned to : E00004045 TASIOPOULOS <br /> SITE ADDRESS: 17101 S LAWRENCE RD, ESCALON APN : 22904016 <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 urve or Name of System <br /> SUMMARY OR COMMENTS: �� f <br /> Y—C L W 1 `"�� — hL \�A G"L �� MTP <br /> C rN CAIX O v-1 <br /> O 4 a <br /> a SS\ <br /> I recom end: Approval ® Denial Continuance Inspecto <br /> _ rre-- <br /> ervis r/Lead Senior COMMENTS: <br /> Alr r <br /> S 7 /a y <br /> ERN1S012! LEAD SENIOR Approval: - Datc: <br /> A 11 Check OH List: Proofread Report2 Correct LAND USE q 1 <br /> Correct CONDITION(S)? Logged in LAND USE Book) <br /> ,I ,.uh h:pci� e7.7iiI April 11,'00') <br />