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4 <br /> % <br /> NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE C MES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008123 <br /> DATE RECEIVED by EHD: February 24,2010 APPL#: PA-100003.1 RR <br /> Referral Agency STAFF CONTACT: MO 14ATEF PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Thu, March 11, 2010 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17239 E LOUISE AVE, ESCALON APN : 20321016 <br /> fn completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> aupplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> Jen.sity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Pu eyor Name of System <br /> SUMMARY OR COMMENTS: r 6 <br /> Cot <br /> [ recoFnmend: Approval r7l Denial Continuance Inspector:_ a r = - <br /> SignaturH'� <br /> iupervisor/Lead Senior COMMENTS: <br /> 04 <br /> a <br /> SuLwk� <br /> iUPERVISOR/LL- <br /> 0A4_1 <br /> OA J1 Check O Lr <br /> '1106 06 Report#7201 February 25,2010 <br />