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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD 1D: S00010888 <br /> DATE RECEIVED by EHD: May 02,2016 APPL#: PA-1600076 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, May 17, 2076 <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 populatior <br /> density, location of house, wind direction, etc.... <br /> Public Water: / Public Sewer: <br /> Name of Purveyor pp Name of System <br /> SUMMARY OR COMMENTS: s /S <br /> 1 recommend: Approval © Denial Continuance Inspect <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> L > � <br /> (d <br /> ll ' Jtk" S5S <br /> TI. L <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Eli 06 06 Report 97201 May 02, <br />