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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013368 <br /> DATE RECEIVED by EHD: May 22,2020 APPL#: PA-2000082 <br /> Referral Agency STAFF CONTACT' JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, May 29, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 15755 S ESCALON BELLOTA RD, ESCALON APN : 22906015,-16,-17 <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: /144 Public Sewer: .1114 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> f�/3✓ z z 9 -o(�c�� ���--r �,S'7� S• �sc Q l•� �?e�i�.- !2� <br /> ,,46AI 22-q - y(ao- 7 alo�al.eJ.t �S7SS S �sc�l• • �eCr'd� �� <br /> Ae ,e e e S o r s,j04- k2e AV- IS-7 eek <br /> I recommend: Approval F-1 Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 h ek Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 27,2020 <br />