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NOTE: PULL ALL*.4RMITS (Septic, Well, etc.) MAKE♦.IPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005261 <br /> DATE RECEIVED by EHD: August 01,2005 APPL#: PA-0500477 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE&SUBMIT BY: Wed, August 70, 2005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 25744 E LONE TREE RD, ESCALON APN : 22908075 <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: d <br /> A U G . ZZ , U3, 1 131. l5. 01 <br /> 22. 0 .2 <br /> en <br /> I recommend: Approval © Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior OMMENTS: <br /> ,iris bt a- V-zt�C <br /> « I <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: ' <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE# ? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EF106 06 Report 97201 August 02,2005 <br />