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NOTE: PULL ALL-OERMITS (Septic, Well, etc,) MAKE C-OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008623 <br /> DATE RECEIVED by EHD: February 14,2011 APPL#: PA-1100021 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY:' Wed, March 2, 2011 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 28141 E LONE TREE RD, ESCALON APN : 20730010 <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: y. C41-;74 <br /> � � rte./► <br /> Y.n <br /> [ recommend, Approval Denial Continuance Inspecto . - <br /> Supervisor/Lead Senior COMMENTS: SignAture------- <br /> 'J Z o k- t t + ti <br /> t c <br /> 1 1 = 03 a- <br /> v y <br /> SUPERVISOR/LEAD SENIOR Approval: 7 / <br /> Date <br /> 77 <br /> OA"��heCNC{yff LlSf 8 . <br /> ;`� s @���s _.6%aat <br /> <�•�' ,`?' s;-a''$fa�... ..�-�' <; I`I' �t{.r '��.y ", <br /> e <br /> JT <br /> EH 06 06 Report#17201 <br /> February 16,2011 <br />