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NOTE: PULL ALL P',wAMITS (Septic, Well, etc.) MAKE 4.-AIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006623 <br /> DATE RECEIVED by EHD: July 10,2007 APPL#: PA-0700307 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> COMPLETE& SUBMIT 13Y: <br /> LOT LINE ADJUSTMENT(LA) <br /> � � <br /> .. ASA] <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 15951 S WAGNER RD, ESCALON APN :Zv3-•z..lo=2o <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 /> c7`ta- <br /> 6 VLl <br /> I recommend: Approval Denial Continuance Inspecto — <br /> • nature <br /> Supervisor/Lead Senior COMMENTS: <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval <br /> Date (Q <br /> lsroo ead Rorty <br /> ORpli <br /> ,. <br /> Che&k'.Off Listp.rrt LA #'2 <br /> C�brract�ON`1�TTIO2�(S�'� s <br /> 3H 06 06 Report 97201 <br /> July 10,2007 �' <br />