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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00009398 <br /> DATE RECEIVED by EHD: November 02,2012 APPL#: PA-1200219 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> COMPLETE&SUBMIT BY: LOT LINE ADJUSTMENT(LA) <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 28726 E LEMON AVE, ESCALON APN : 24911018 61 <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 /> A <br /> SUMMARY OR COMMENTS 1 I S A 2— � i� A 0 <br /> r� <br /> 1 recommend: Approval DenialEl <br /> Continuance Inspector• - <br /> a ure <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: L <br /> OA 11 Check Off List: Proofread Report?. Correct LAND USE#? <br /> -Correct CONDITION(S)? Logged.in LAND USE Book? <br /> EH 06 06 Report#7201 November 05,201" <br />