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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012155 <br /> DATE RECEIVED by EHD: February 07,2019 APPL#: PA-1900004 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, February 15, 2019 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 17172 S WAGNER RD,ESCALON APN : 20507005,20507037 <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: t p L Public Sewer: yam,L <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 4 E s• hrL 67f�993 <br /> she y,3,Y &-rn zJ oNG da 4", A-it doA-.,j 'c AeL .)hi 4t Lu %c1s s&mak <br /> '64• (I hXPaetom[ 44-K ely��hy.0 arV�t�`� 7Y►xIt w A5elt �'rS� Ar- <br /> /1^�XZL 't''y �$� S;�i^�� /.J�r'�er/� .j /'+ie��G...� /fl'i•r,7Zt�4I' ,9 !/lyt'i` .S�1Qf7 <br /> I recommend: Approval El Denial ❑ Continuance F Inspector: <br /> Signature <br /> Suuervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check N List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 07,2019 <br />