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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012578 <br /> DATE RECEIVED by EHD: October 02,2019 APPL#: PA-1900206 <br /> Referral Agency STAFF CONTACT! FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Wed, October 9, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 24254 E SKIFF RD,ESCALON APN : 20715001,20716003 <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: e 4cNe.✓r Ap^., zo7- /,SO- o/ 4_c6itrs 2-y2,SZ C• S,r• Y0A01, <br /> AP 20 7- /6o- 03 a4lvu z3772 <br /> Ny 04t,(s or r.fj:dr- P4-l-,,"'IT 61' zyLsy F s�t,�/Io/, <br /> - <br /> Ox-,e- ",a f fries L3774 F Ste'• Y:'P/Ic/ <br /> —pn.2 /IvW-ice �.-.n.'E Irl- a3�71 F•S/c-� !L d <br /> 3 1,� F .r,E, <br /> /LIC G✓�I":/ �/^ 4.t YYW'Wy. l J�/9/'C ( -,k rl- ,�•Pi((' ����`!�C`^ ? <br /> I recommend: Approval ❑ Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <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 October 02,2019 <br />