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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD 1D: 500011726 <br /> DATE RECEIVED by EHD: March 27,2018 ADPL#: PA-1800076 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: Fri, March 30, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 17547 S SEXTON RD, ESCALON APN : 20526024 <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: N <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 3/7-T/.7 erfi4te tLvm<<J: j° Ne6/ -o oma[ aen,6c �e.... t. <br /> OKa�y y„ao 01slzu/zetqI 1 _ <br /> - fiYlK ble T4 f��lt'i nn m+�>✓'c .htl�+-c-lf+i... lih..6�G GV PN 'f h•r�o��� �. 6i�t. ✓1sa�i/'G "t`D <br /> e V <br /> N(fi7".Y ic�lr{sz.- •� �.»da�it Nt//lf� . <br /> )4 s 6f� ��z 2 kae- w� 6 xer 4e s Qh-..; � e aL/aa.l 'jAr-Ar- x '� O-/ we.P <br /> e3 oiola• CU�'t C9 <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: % Date: <br /> OA I Ch,,k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 March 27,2018 <br />