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5 <br /> NOTE: PULL ALI:,, RMITS (Septic, Well, ettc.) MAKE,_JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005824 <br /> DATE RECEIVED by EHD: December 13,2005 APPL#: PA-0500777 Pre-Application <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE& SUBMIT BY: Wed, December 28, 2005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 22032 S SANTA FE RD, ESCALON APN : 24905009 <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 /> /43 <br /> I recommend: Approval,W Denial ❑ Continuance Inspector: <br /> Signature ff <br /> Supervisor/Lead Senior COMMENTS: VV <br /> fl, <br /> C• ILL ' <br /> o F O 1�o'c..B. <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> fread <br /> OA i!Check iOff List. ProoReport? <br /> ,.. Correct LAND USE 7 <br /> Correct CONDITiON(S)? .. M.., Logged in LAND USE Bogle? <br /> EH 06 06 Report 47201 December 14,2005 <br />