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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAPID USE REPORT RECORD ID: SU0004799 <br /> DATE RECEIVED by EHD: January 25,2005 APPL#: PA-03-323(TE) <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Mon, January 31, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 28345 E ORANGE AVE, ESCALON APN : 24920009& 10 <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 F-1 Continuance ❑ Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> 1 / <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Repoli? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? - <br /> EH 06 06 Report#7201 Paec January 26,2005 <br />