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11 AR <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010764 <br /> DATE RECEIVED by EHD: February 01,2016 APPL#: PA-1500271 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, February 16, 2076 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 22422 E RIVER RD, ESCALON APN : 24526009 <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: 2 -0/- � � s, �;� w �{_� l ✓C e vu�� iY a �� <br /> Ovv wl.a S��— <br /> OU —So//SN/7 �lAIX�rI ¢� $IM SCsMS VL�� �YIA v✓N tl✓\ . <br /> / ✓Z-ems+ <br /> sNk" <br /> o v <br /> o 02- k <br /> I recommend: Approval ® D ial Continuance ❑ Inspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 6� <br /> . l p <br /> 02 2�6IS C ' <br /> (W 19G fc 'l J32 — <br /> P� o_L® 2 _ I <br /> b -- L'q, <br /> zz: 0i . r <br /> SUPERVISOR/LEAD SENIOR Approval Date: v7 <br /> OA 11 Check Off List: Proofread ReporC.' Correct LAND [ISI'.P ? ' <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 1!7201 February 01,2016 <br />