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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE'GOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004962 <br /> DATE RECEIVED by EHD: March 29,2005 APPL#: PA-05-168 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 —� <br /> SUBDIVIS - OR(MSJ,..� <br /> COMPLETE& SUBMIT BY: Tue, April 19, 2005 <br /> Assigned to : EE0009374 GODINHO <br /> SITE ADDRESS: 16426 S STEINEGUL RD, ESCALON APN : 22912027 <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 /> Of <br /> �G <br /> Z el,2 <br /> I recommend: Approval Denial Continuance Inspector: <br /> t. Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> D <br /> 06 � <br /> C) 0� <br /> 22 ; © / <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: j <br /> OA 11 Check Off List: Proofread Report? ✓ Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page <br /> March 30,2005 <br />