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NOTE: PULL ALL i-=RMITS (Septic, Well, etc.) MAKE 4.,--?IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006554 <br /> DATE RECEIVED by EHD: May 08,2007 APPL#: PA-0700181 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE ; 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE& SUBMIT BY: Wed, May 16, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 13295 S STEINEGUL RD, ESCALON APN : 20721011 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Pury yor Name of System <br /> SUMMARY OR COMMENTS: <br /> a <br /> 'D <br /> I O�7 i,. <br /> / <br /> I recommend: Approval Denial Continuance Inspector: <br /> signature <br /> iupervisor/Lead Senior COMMENTS: <br /> t <br /> tj <br /> 0 -7n <br /> { <br /> 0 <br /> Ssr <br /> -7- D <br /> ;UPERVISOR/ LEAD SENIOR Approval: Date: <br /> 0,4 11 Check Off List Proofread Report? Correct LAND USE,4 ? <br /> Correct CONDITION(S)? Logged-in LAND USE Book? <br /> ,1I 06 06 Report#7201 May 08,2007 <br />