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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD H): SU0009198 <br /> DATE RECEIVED by EHD: May 22,2012 APPL#: SA-970015 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Tue, June 5, 2012 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 24754 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: / Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: C_ 'X <br /> u <br /> 01 <br /> ti�� 155 is <br /> v- V — <br /> -- <br /> I recommend: Approval Denial ContinuanceEl <br /> Inspec <br /> urvis r/ M T <br /> 0 <br /> \ v <br /> A <br /> dYl •�� a �I <br /> ez bCP k'), <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z <br /> �uu <br /> -`s <br /> EH 06 06 Report#7201 t A4 (may we ay 22,201] <br />