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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009044 <br /> DATE RECEIVED by EHD: January 27,2012 APPL#: PA-1200008 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE AMMSTMENT(LA) <br /> COMPLETE&SUBMIT BY: rg/. <br /> FAssigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 30545 E RIVER RD, ESCALON APN : 24915011 38 40 <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 direction, etc.... <br /> Public Water: Public Sewer: �— <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: /p t r+�g h y � \ t �� k O �� 3 w�h <br /> �� <br /> I recommend: Approval DenialEl <br /> Continuance Inspector: <br /> ature <br /> Supervisor/Lead Senior COMMENTS• a_nn � <br /> (S I Y4Y <br /> J <br /> SUPERVISOR/LEAD SENIOR Approval: Datc: <br /> OA 11 Check Off List, Proofread Report. Correct LAND USF.9? <br /> Correct CONDITION(S)? Logged in LAND USG Book? <br /> EH 06 06 Report 97201 <br /> January 30,2012 <br /> x <br />