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NOTE: PULL ALL PERMITS {Septic, Well, etc,} MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008831 <br /> DATE RECEIVED by EHD: July 21,2011 ADPL 4: PA-1100127 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, August 16, 2011 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: . 14280 E HWY 120 , RIPON APN : 24502023 34 <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 plaid paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of P rveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> i <br /> - - - tiy�.C�--- al,�� !'w arm✓t o� .�n/!� <br /> D� <br /> I recommend: Approval ® Denial Continuance Inspecto <br /> ur¢ <br /> Supervisor/Lead Senior COMMENTS: <br /> O 1 <br /> =a �rC <br /> 22_ 0 2, - <br /> iQ 22 <br /> !2.7e <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> w. <br /> :1"" ' .ga.�€ . .. .: a%rss ., �:g•^��t0[�£r0a ��' (A ,�d,',��-���'.a'�'� ._..�°rhf'="s�`. � :z s <br /> :aa Il CheckEOff L�si. z• r.. If : t s ; <br /> ,- �� a •_ _ <. �.. ,.:.x€ ���#, meet STI?���� �..� ,•�,; �� �� ��� �,�i <br /> °��^ <br /> 'F$��% AIDE� ��dcy; <br /> `% <br /> ...;' � s.$;'$rj,,.5 g" 'a?.,.L.f' <br /> 6H 06 06 Report 97201 <br /> July 22,2011 <br />