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NOTE: PULL ALL i,RMITS (Septic, Well, etc.) MAKE , IES FOR FILE <br /> RECORD ID: SU0006572 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: May 18,2007 APPL#: PA-0700235 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2690 <br /> COMPLETE& SUBMIT BY:—AR—A LOT LINE ADJUSTMENT(LA) <br /> _ 'U51— Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 23100 S OLIVE AVE, RIPON APN : 22815012 13 14 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water 1 <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 of Purveyor Name <br /> of System <br /> SUMMARY OR COMMENTS: V v/j _ +�✓ Sr`'� �"ti" <br /> I recommend: Approval DenialEl Continuance Inspect <br /> I <br /> atutp,_...... <br /> Supervisor/Lead Senior COMMENTS: ? <br /> I <br /> i <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> 0,411 Check Off LYst pr`gofreadpart?�_ rect AND IJiI#? <br /> Correa �ONDITIONngg ii"n LAND'i S1 Bank <br /> EH 06 06 Report 47201 May 18,2007 <br />