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NOTE: PULL ALL t MITS (Septic, Well, etc.) MAKE( IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006635 <br /> DATE RECEIVED by EHD: July 17,2007 APPL#: PA-0700325 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: A S A P.-RY <br /> I Assigned to : EE0004045 TASIOPOULOS <br /> SITE.ADDRESS: 19467 S SEXTON RD, ESCALON APN : 24509005 <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 Pur eyor Name of System <br /> SUMMARY OR COMMENTS: <br /> � ' t ✓ D�� -5t <br /> -1,,Q- <br /> - <br /> W <br /> ,16 o r <br /> LA <br /> I recommend: Approval ® Denial ❑ Continuance ❑ Inspec <br /> ure <br /> Superviso-/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval Date: zJ <br /> -17 <br /> d'A ft Check Off Ltst P Cgrreet�,t�N�dISE#'� <br /> orreot CbND�TI'ON 5 Lo ed i BQpk?c:. <br /> ( _z . <br /> EH 06 06 Report#7201 July 18,2007 <br />