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5 <br /> NOTE: PULL ALL 1; .r MITS (Septic, Well, etc.) MAKE (.,...DIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006320 <br /> DATE RECEIVED by EHD: November 14,2006 APPL#: PA-0600609 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Tue, December 5, 2006 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17266 E FRENCH CAMP RD, RIPON APN: 20322021 31 <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: d err" <br /> r (� <br /> ' o a f ICC l <br /> r;0 > <br /> �' ' . Cid. � w �L[ � ` /d 'DI �w� t 5J o•�e8�vuvt>� 4 wP.+� <br /> P!d <br /> .L <br /> J I <br /> I recommend: Approval Denial Continuance ❑El Inspector. <br /> Supervisor/Lead Senior COMMENTS: <br /> c. <br /> U-2- <br /> A <br /> oZ oI <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> EH 06 06 Report#7201 November 15,2006 <br />