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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009348 <br /> DATE RECEIVED by EHD: September 14,2012 APPL#: PA-1200173 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ASAR-ev. <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 24580 E LONE TREE RD, ESCALON APN: 22906012 <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: y,2'�L Sym //V,) w64 <br /> ^ <br /> O - <br /> [ recommend: Approval 1K Denial Continuance Inspe016 <br /> imnature <br /> Supervisor/Lead Senior COMMENTS: <br /> Wo ;K- <br /> oJ <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List-. <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged.in LAND USE Book'? <br /> EH 0606 Report 47201 September 11,201.: <br />