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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010047 <br /> DATE RECEIVED by EHD: April 24,2014 APPL#: PA-1200173(TE) <br /> Referral Agency STAFF CONTACT: RIPE :F PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: s. <br /> Assigned to : EF0004045 TASIOPOULOS <br /> SITE ADDRESS: 24580 E LONE TREE RD, ESCALON APN : 22906009 12 <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: <br /> I recommend: Approval Denial Continuance In ct <br /> Signature <br /> Supervisor/Lead Senior COMMENTS• <br /> nVAWIW—Ii- 5 <br /> j _ (uv6ai,aS ��,b✓�-cvw 5 <<-�'+-+^` w5 =l{� �� <br /> I>Ai�L� 77 <br /> St PER% ISOR/ LEAD SENIOR Approval: Date: > <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> IiH 06 06 Report#7201 April 25.2014 <br />