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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012538 <br /> DATE RECEIVED by EHD: September 06,2019 APPL#: PA-1900083 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, September 26, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 20679 E HWY 120 ,ESCALON APN : 20508004 <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: Nce— Public Sewer: A&s,L <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �`yr•���w�il^ �cK �71-qiy� <br /> Sep4 L Pe 7"1 f �Sr2ua'/4vt a d✓ <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Ch ck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 09,2019 <br />