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NOTE: PULL AL! 4cRM1TS (Septic, Well, etc.) MAKE SPIES FOR FILE <br />LAND USE REPORT RECORD ID: SU0008291 <br />DATE RECEIVED by EHD: June 02, 201.0 APPL #: PA -1000113 <br />Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br />SUBDIVISON - MINOR (MS) <br />COMPLETE & SUBMIT BY: Tue, June 15, 2010 <br />Assigned to : EE0004045 TASIOPOUL05 <br />SITE ADDRESS: 20500 S JACK TONE RD, RIPON APN : 24516024 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 />lD—� <br />qua ! <br />-2--0 t oSZ <br />V 3- -'' 14-V / t, —4-0 f <br />0 <br />f <br />'1Ez / • / <br />r <br />SUPERVISOR/ LEAD SENIOR Approval: Date: <br />,: .�-.r'�roofread Re ..a',°'H' <br />'OA !!'Check Off L,sf 3 43 P on ect I A7 D USE # i + s r,:r <br />€. - ..:`#ra,_a . .€ dtf- mat € ,q;i'9;-. <br />€ `..�,Crf� Correct°GQ�li�1TIS�N{.S): 31E „T ogged,�n IAI�D —USE i3aok�' t.j? :. t <br />EH 06 06 Report 07201 June 07, 2010 <br />