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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010550 <br /> DATE RECEIVED by EHD: July 03,2015 APPL#: PA-1500112 <br /> Referral Agency STAFF CONTACT: RI t I t F1;N PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: r <br /> I B"Y'l Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 19649 S SUTLIFF AVE, ESCALON APN : 249120 22 23 45 <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 <br /> ewerj---Name of Purveyr Name of System <br /> SUMMARY OR COMMENTS: <br /> 6� <br /> i <br /> .l <br /> Ac-ol 10, <br /> I recommend: Approval Denial ContinuanceEl <br /> Inspecto = -- <br /> ature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 06,2015 <br />