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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010701 <br /> DATE RECEIVED by EHD: November 25,2015 APPL#: PA-1500232 <br /> Referral Agency STAFF CONTACT: RILCILGIZUFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: r 015 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 30327 E ST RTE 120 , ESCALON APN : 22926020 <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: �� <br /> I recommend: Approval Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Rook? <br /> 1-1I 06 06 Rcpoo 472u 1 November 25,201 <br />