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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011424 <br /> DATE RECEIVED by EHD: July 17,2017 APPL#: PA-1300218 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE& SUBMIT BY: Tue, August 1, 2017 <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 of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance inspector•-.- - � <br /> f <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> X03 {� <br /> �v <br /> F: UUAZI� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Ch,,k Off Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 18,2017 <br />