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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010711 <br /> DATE RECEIVED by EHD: December 14,2015 APPL#: PA-1500243 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2659 <br /> WILLIAMSON ACT CONCELLATION <br /> COMPLETE&SUBMIT BY: Tue, January 5, 2016 (WC) <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 20872 S MCHENRY AVE, ESCALON APN : 24716017 <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: �a f ,i5 % e rls nr� �✓�1 ✓�D� <br /> I recommend: Approval ® Denial Continuance Inspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: L <br /> SUPERVISOR/LEAD SENIOR Approval• <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)7 Logged in LAND USE Book'? <br /> EH 06 06 Report#7201 December 15,2015 <br />