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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500010574 <br /> DATE RECEIVED by EHD: August 03,2015 APPL#: PA-1500132 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: G �J— <br /> Y: Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 25088 E LONE TREE RD, ESCALON APN : 22906009 13 <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 n Name of System <br /> SUMMARY OR COMMENTS: S v/ i <br /> Ob /9.o L <br /> L' <br /> I recommend: Approval El Denial ❑ Continuance F� Inspect`: J <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA I/Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 05,2015 <br />