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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> .AND USE REPORT RECORD ID: SU0008157 <br /> DATE RECEIVED by EHD: March 19,2010 APPL#: QX-890002 <br /> Referral Agency STAFF CONTACT: KEVINS SWANSON PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Tue, April 6, 2010 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26292 E RIVER RD, ESCALON APN : 24725013 14 <br /> n completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> ;upplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area Showing population <br /> lensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: ' <br /> c Name of Purveyor Name of System <br /> iUMMARY OR COMMENTS: <br /> recommend: Approval enial Continuance Ins r: <br /> ignature <br /> ;u ervisor/Lead Senior COMMENTS: <br /> AA <br /> VV <br /> ;UPERVISOR/LEAD SENIOR Approval: a e: <br /> ,.._.. he4�� U. TOW ad Ite ort? Cs�rre L 4N3 17 #' <br /> ,OA'll Check Off list P e., '' <br /> H 06 06 Report 47201 March 23,2010 <br /> a <br />