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NOTE: PULL At,?ERMITS (Septic, Well, etc.) MAIK.�OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007634 <br /> DATE RECEIVED by EIID: March 13,2009 APPL#: PA-0900051 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, April 7, 2009 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17155 E LONE TREE RD, ESCALON APN : 20320018 <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:-a'�ls/ /// J�� v /O� 1L+iY�,,p� _ <br /> v y� L4r <br /> C/L <br /> c <br /> ------------- <br /> I recommend: Approval Eg— Benial Continuance Ins <br /> re <br /> Supervisor/Lead Senior COMMENTS: <br /> Ltj <br /> � Y <br /> C) 4, <br /> IV07F: 20n <br /> b <br /> 7 C7 <br /> ` Z <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: �J " <br /> OA It Check Ofl List Prooffead Report? Correct LAND.USE# ?- <br /> Correct CONDI'FION(S)? I i geed in LAND USE Book? - <br /> EH 06 06 Report a 7201 <br /> March 16,2009 <br />