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NOTE: PULL ALL--,dRMITS (Septic, Well, etc.) MAKE`OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006551 <br /> DATE RECEIVED by EHD: May 08,2007 APPL#: PA-0700214_ <br /> Referral Agency STAFF CONTACT: CORINNE BOGGS PE : 2622 <br /> SUBDIVISON- _ <br /> COMPLETE& SUBMIT BY: Tue, May 22, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 14222 E LOUISE AVE,RIPON APN : 20307035 <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 populati <br /> density, location of house, wind direction, etc.... 1 <br /> Public Water: — Public Sewer: <br /> Name of Purveyor I Name of System <br /> SUMMARY OR COMMENTS: �b�� i J�LI/Y�l 7 cox- rvW w ,- l s <br /> e c <br /> I recommend: Approval Denial Continuance Inspe <br /> <Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Ll <br /> R I oyuIuo� C- ss5 -FR P"awt �Z- <br /> rAn +v <br /> 3UPERN ISOR i LEAD SENIOR Approval: Dale: 6 7_ <br /> OA !1 Check Off List: Proofread Report? - orrect I..AND USE g <br /> Correct CONDITION(S)'7 Logged in LAND USE Gook? <br /> -1106 06 Report 97201 May 08,2007 <br /> h <br />