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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012305 <br /> DATE RECEIVED by EHD: June 03,2019 APPL 4: PA-1900082 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE& SUBMIT BY: Thu, June 27, 2019 Assigned to : EE0009825 AFONSKAIA <br /> SITE ADDRESS: 20679 E HWY 120 , ESCALON APN : 20508004 <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: NQ�Q. Public Sewer: �O(�Q� <br /> Name of Purveyor f Name of <br /> System <br /> SUMMARY OR COMMENTS p, IR QJw � p2 w&f I U if! <br /> 0 2 fule r2�d OV <br /> I recommend: Approval El Denial Continuance El Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> oe <br /> wad,✓ . <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> j_QA IJh k Off List- Proofread RepoI Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> June 07,2015 <br /> EH 06 06 Report 47201 <br />