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70141 <br /> —� NOTE: PULL ALL !I IM1T3 (Septic, Well, etc.) MAKE ( �;IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006650 <br /> DATE RECEIVED by EHD: July 24,2007 APPL#: PA-0700335 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY:.A <br /> Assigned to : EE0004045 TASIOPOIJLOS <br /> SITE ADDRESS: 16116 S WAGNER RD, ESCALON APN : 20506016 17 <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 P rveyor Y <br /> Name of System <br /> SUMMARY OR COMMENTS: 7 <br /> I /L / o ✓I A <br /> I recommend: Approval Denial F-1 Continuance Insp <br /> Suoervisor/Lead Senior COMMENTS: <br /> l <br /> 9 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 7 c� <br /> VUSB <br /> oA ti CheckSoff Lrsr �n�ct cnrinlri 0Ms� <br /> i <br /> EH 06 06 Report#7201 July 24,2007 <br />