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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S000098W <br /> DATE RECEIVED by EHD: December 16,2013 APPL#: PA-1300218✓ <br /> Referral Agency STAFF CONTACT: CORINNE E KING , PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, January 1, 2014 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17641 E FRENCH CAMP RD, RIPON APN : 20322021 <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 ofurve or Name of System <br /> SUMMARY ORCOMMENTS: <br /> ,i�/ aas�� /�/ <br /> 1f / y <br /> ZUAQ — nun iz-Lis/oma sltiwrtr e_.,.drac /awn <br /> ifN <br /> a+� ;o�s� �n¢�✓ Se�cc _ <br /> I recommend: Approval Denial Continuance Inspect <br /> store <br /> Supervisor/Lead Senior COMMENTS: <br /> f�,.wwwt <br /> 12 <br /> t 5"W', Jz.0 I G <br /> Il�o � <br /> �• 1 1 • �J(n2 6."W ai – T'. L sl <br /> C <br /> 11 ,0 1 V-Lj L l4 s <br /> SUPERVISOR/LEAD SENIOR Approval: Date: a $ <br /> OA /Check Off List; Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> I H ud nG kcp,,n 471_01 nho, IA ?011 <br />