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NOTE: PULL ALL, . cRMITS (Septic, Well, etc,) MAKE %.%PPIES FOR FILE <br /> LAND USE REPORT RECORD 1D: SU0008521 <br /> DATE RECEIVED by ERD: November 29,2010 APPL#: PA-1000259 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2690 <br /> COMPLETE&SUBMIT BY: <br /> LOT LINE ADJUSTMENT(LA) <br /> -ASA R ' <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18516 E HWY 120 , RIPON APN : 24507002 51 <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 /> - Gla <br /> !— <br /> N� <br /> [ recommend: Approval R Denial Continuance <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: <br /> SOA`!!Cirec �I' Q$fr& l ep9 C NIZ to <br /> k Off t est r a <br /> &G4rre t I 7 r 1 <br /> fSo3c�i � <br /> a1 t@ <br /> EH 06 06 Report 47201 <br /> November 30,2010 <br />