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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012575 <br /> DATE RECEIVED by EHD: September 27,2019 APPL#: PA-1900199 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, October 4, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 30545 E RIVER RD,ESCALON APN : 24915046 <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: j,,&,e Public Sewer: ,,Ia, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: Oje �<.�'<.✓: /, e olc��✓sus �v r�-'✓ z ci9 _/,SD-L/ 3n T'15 Y 30f 7 ' <br /> x t/9- /SO-Y7: 307 5jr E• X i-e L-/- <br /> /Y !d .t flle 1*' 36,ygs` 6•�t°„Kr/Id. <br /> T <br /> UnZ SLd�L C/iN' Cd O ti je gy.7 S-7 CL' /e,',^C- 1Q <br /> TA-<e pcar ar-s[ dHG rgpflt Peo,”, rd O.1 Xle vfj, 1/9 F• K�'w' <br /> A s-pe d n 11 i'b i/u r SCJ 7,' S'f'e "S'1 <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> � J <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA If Check Off List: Proofread Report? V Correct LAND USE#? <br /> Aw Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 30,2019 <br />