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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012494 <br /> DATE RECEIVED by EHD: August 12,2019 APPL#: PA-1900180 <br /> Referral Agency STAFF CONTACT! RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, August 16, 2019 <br /> Assigned to : EE0007380 SHIN <br /> SITE ADDRESS: 22313 E ST RT 120 HWY,ESCALON APN: 20526009,20526010, <br /> 205260-22 <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: Cj'44 1j?,V'' W ; �piV LOS- <br /> ,2(0-Oq Lar�S/fa✓e1 f�' tw'4e-a az3.e <br /> . 120. 14191V Zos'- L6o-�o LarrsP�.,.� to drrr usg3 C• .4,Piv 2-o,s_z66-1/ <br /> P <br /> Za ys t z732,3 E- t-Avy= i2o • ,4DN zos- LGa -zz <br /> O le 47r <br /> f/� /10• 5jr��i�.�ry/ .-uf l�N�� ¢l�•.C. �+� .-�!� � g f��? ;��rra�.�'. <br /> 5t / i�►�• Sl���Dp�� onOr �'/-.�y2� ��� s1�'S G u f rlf h' �sY`��"i'i'`�j d�� .th l�1I'. <br /> I recommend: Approval ❑ Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval' Datc: <br /> am <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 13,2019 <br />