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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE, ,,OP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0003433 <br /> DATE RECEIVED by EHD: April 22,2004 APPL#: PA-04-205 — <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: A P--4 M <br /> Assigned to : EE0000018 TRINDADE <br /> SITE ADDRESS: 14892 S MURPHY RD,ESCALON 4y3o APN : 20320007&08 <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 /> �l _� � -���► 9- til . <br /> oe <br /> I recommend: Approval Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR I LEAD SENIOR Approval: Date: <br /> OA!t Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 2 April 29,2004 <br />