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1 <br /> NOTE: PULL ALL --.ettMITS (Septic, Well, etc.) MAKE :PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006466 <br /> DATE RECEIVED by EHD: March 05,2007 APPL#: PA-0700064 <br /> Referral Agency STAFF CONTACT: CORINNE BOGGS PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, March 20, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 19992 E LONE TREE RD,ESCALON APN : 20510016 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: Public Sewer: <br /> Name of P rveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ����B ' /Q✓i jC. i/{c AUr� fO tz_ O kic✓l_ <br /> 0 <br /> I recommend: Approval Denial Continuance Inspe <br /> nature <br /> Supervisor/Lead Senior COMMENTS: <br /> LI) 1l�II f b) D*fr--17 :q%4k - Mode- To 73APerr NAP A"61/AL� <br /> I�) Il�ob <br /> �) 2zso2 <br /> '17) I l% D3lA) <br /> L-) a of <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> MENEM <br /> -H 06 06 Report 97201 March 05,2007 <br />