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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br />LAND USE REPORT RECORD ID: SU0012578 <br />DATE RECEIVED by EHD: October 02, 2019 APPL #: PA -1900206 <br />Referral Agency STAFF CONTACT FRANK GIRARDI <br />COMPLETE & SUBMIT BY: Wed, October 9, 2019 <br />PE : 2690 <br />LOT LINE ADJUSTMENT (LA) <br />Assigned to : EE0000418 KITH <br />SITE ADDRESS: 24254 E SKIFF RD, ESCALON APN : 20715001, 20716003 <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 Purveyor Name of System <br />SUMMARY OR COMMENTS: 0-/� e 4e. e.✓r Ap^1 zo7- /,SO- o1 4-e6bt" 2-4/25-Z �• S,r• Y�i'?�, <br />APN 207- Mao- 03 a4lfu z3 772 C=. S,k'r'Ad- <br />- Nd ,�ttt1 <br />or C-fj:) pP1..1• Lr <br />6r zyF-SC/ C•S&',Y /Io/, <br />-Ox-,e- <br />,. " <br />J%+°rmI f <br />fries L3774 Ste•• Y:'P/Ic/ <br />—0n2 <br />/rn•'f <br />23771 <br />F- S/c- � !L <br />— Oft <br />z 3 77,� <br />/Llli <br />G ✓�I" <br />:i �/^� <br />4. t YYW'Wy. l <br />J�/9/' C �G"� rl.t[,�•Pi( (' ��� �`!% C`^ <br />I recommend: Approval ❑ Denial F-1 Continuance F-1 Inspector: <br />Signature <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 October 02, 2019 <br />