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NOTE: PULL ALL 6.AMITS (Septic, Well, etc.) MAKE ta..,471ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006349 <br /> DATE RECEIVED by EHD: December 19,2006 APPL#: PA-0600656 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, January 2, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 27272 E LONE TREE RD, ESCALON APN : 22909001 <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 Purve or Name of System <br /> SUMMARY OR COMMENTS: Zy <br /> CAAj <br /> P0— 4 \ W 6 WeA GL IJ <br /> u <br /> � �, L n <br /> V 42: UI '� Vrn C,d �M•. 1r..0.T Vr�''�..6 w. (�A„'-CY4 <br /> w<11.L `xb31 <br /> V <br /> I recommend: Approval Denial Continuance Inspect f <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> N°7� Ci C- z�vr # 8 - 89�f i t�rrrb � � c� ✓ A <br /> Lay<my cart/ 771& SGY11i1 . vDF oZ .L1nk 94g&V <br /> r-) rr#F- ST/►b!/Gb boil. LA4k:1A w P411g. wArre 7i2&S AA p n27F-k <"KF 6c <br /> A/rrlr-D gni <br /> -r#k Z/RFAcr-- +AP sro3s,ertcc �.n&%AZ✓IAIA-mAl &awz 5nLLV <br /> F4 VU/0" FkbM Z,ys � KTP' ,An b 4rFbA=pCY D/s/3a Z) . s( n <br /> /Mt ll�'f�Gf� PRofte J91<r Ir , est' A,frkX.t+��ia4iW 17-6"-S 7a r:*#D 10A? I� <br /> SUPLRVISOR/LEAD SENIOR Approval: Date: l <br /> OA 11 Chic* Off List: Proofread Report'? Correct L:AND USE# <br /> Correct CONDJTION(S)? J.bggcd m LAND 1JS1i Book <br /> EH 06 06 Report#7201 December 20,2006 <br />