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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010888 <br /> DATE RECEIVED by EHD: May 02,2016 APPL th PA-1600076 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, May 11, 2016 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 24754 E RIVER RD, ESCALON APN : 24709031 <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: / <br /> Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> g Zy,nz — .•. r.�C.l //� roc-�.A7 <br /> I recommend: Approval 1/1 Denial Continuance Inspect <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> I I • o�a> �•�-�� . . (�� .�/� %.` SSS <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 02,2016 <br />