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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010759 <br /> DATE RECEIVED by EHD: January 22,2016 APPL#: PA-1600012 <br /> Referral Aariel STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> R` , LOT LINE ADJUSTMENT(LA) <br /> C A l Lp Yly: Fri, January 29, 2076 <br /> 111..../// Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 19909 E HWY 120 , ESCALON APN : 20505013 <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: / ✓/9 � n) �J e� wl�{r( Z��n/j1�10? Inr��r� <br /> I recommend: Approval Denial Continuance Inspect <br /> �Signsiure <br /> Sunervisor/Lead Senior COMMENTS: i <br /> �n n <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? — " Correct LAND USE it? <br /> Cori-ca CONDITION(S)? Logged in LAND USE Book9 <br /> EH 06 06 Report 47201 1 an uan 22.2016 <br />