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NOTE: PULL AL4 9RMITS (Septic, Well, etc.) MAKE (PIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00008929 <br /> DATE RECEIVED by EHD: October 11,2011 APPL it: PA-1100183 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: ' <br /> Assigned to : EE0004045 T.4SIOPOULOS <br /> SITE ADDRESS: 14527 E LOUISE AVE, RIPON APN : 20306008 12 13 <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 /> r9e e •- ) <br /> K� akk <br /> 114 Ay, <br /> I recommend: Approval Denial Continuance In r• <br /> ature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE N'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> October 11,2011 <br />