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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009800 <br /> DATE RECEIVED by EHD: October 11,2013 APPL#: PA-0200370 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE: 2605 <br /> EXCAVATION-QUARRY(QX) <br /> COMPLETE&SUBMIT BY: Wed, October 30, 2013 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 27865 E RIVER RD,ESCALON APN : 24723009 <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 /> (�n�i i4�•.-•� <br /> oc-.��c,. lam . <br /> recommend: Approval ial ContinuanceEl Inspec <br /> Signature <br /> Supervisor/Lea1d Senior COMMENTS: <br /> O> - �`i�ie 5 Coin Lw S (AaA to i✓� T 'll7 is��Cr �w�� 4( L] 6-t— <br /> SUPFRVISOR/ LEAD SENIOR Approval: Date: t,>� ' 113 <br /> OA 11 Check ON List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book'? <br /> I I O6 06 Repos,7201 October 14 201.- <br />