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NOTE: PULL ALL7eiERMITS (Septic, Well, etc.) MAKE cJPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005097 <br /> DATE RECEIVED by EHD: June 15,2005 APPL#: PA-0500349 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, July 5, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14257 S STEINEGUL RD, ESCALON APN : 20030013 TO 17 <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:T 6r G_ � �- /��r�.�✓ �.��2��e� �i�9-bmf-l 8�) <br /> 1 recommend: Approval 7 Denial F] Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> l -'l . 0 3Q,- <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: r1 <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> E-I1 06 06 Report P7201 June 16,2005 <br />