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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010082 <br /> DATE RECEIVED by EHD: May 29,2014 APPL#: PA-1400098 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ASARBY- <br /> - Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17730 E HWY 120 , RIPON APN : 20322070 24506034 35 36 <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 /> ame of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �.fa+�L�,...�. P�sa.0 new laf-lti►�3 .Cd .t>�i>�°fcrf�.•� <br /> I recommend: Approval Denial E] Continuance E] <br /> --Stdnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [2A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 29,2014 <br />