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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500008975 <br /> DATE RECEIVED by EHD: November 21,2011 APPL#: PA-1100221 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ASAR <br /> Y. Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 21562 S OLIVE AVE, RIPON APN : 22810018 19 20 <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 Pur eyor Name of System <br /> SUMMARY OR COMMENTS: 72 /�� �� ✓ 1 , i� `L � �er <br /> EXl � <br /> b L/` <br /> I recommend: Approval Denial Continuance Inspegto <br /> Supervisor/Lead Senior COMMENTS: <br /> 'Y� <br /> SUPERVISOR/LEAD SENIOR Approval Dater ( ?z <br /> yaa�f <br /> OA 11 Check Off tist: Proofread RePort7 - Correct LAND.USE.# ? <br /> Correct C:0NDLI'10N(S).? Logged in LAND USE Book? <br /> EH 06 O6 Report#7201 <br /> November 21,201 I <br />