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NOTE: PULL ALL PERNATS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-40 LA <br /> EHD RECEIVED APP.REFERRAL: 2I 1 0/04 COMPLETE & SUBMIT BY: ASAP 2-16-04 <br /> DATE DATE <br /> ATTN: JOHN FUNDERBURG <br /> SITE ADDRESS: 23808 SOUTH SANTA FE ROAD, ESCALON <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENT <br /> I recommend: Approval Denial Continuance Inspector's Sig <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1199 <br />