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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010889 <br /> DATE RECEIVED by EHD: May 02,2016 APPL#: PA-1600081 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, May 11, 2016 <br /> Assigned to : EE0004045 TAS[OPOULOS <br /> SITE ADDRESS: 17000 E HWY 120 , RIPON APN : 24506029 <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 PurveyorA / Name of Sy/stem ' <br /> SUMMARY OR COMMENTS: s�1; �`j5e.✓r.� Cli( wr /r -0 s <br /> /osr�i���y �nes � sf�d• �,g s�� <br /> J/.D3T�c o s <br /> Z/-07 <br /> atir rt�9�,i7 za <br /> I recommend: Approval ® Denial Continuance El Inspector: <br /> Signature <br /> Su ervisor/Le d Senior COMMENTS: <br /> C6;kK " <br /> rx - . ., \ <br /> U <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report'? Co ect LAND VSE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> LH 06 06 Report{;9201 May 02,2016 <br />