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- A <br /> NOTE: PULL AL, kERMITS (Septic, <br /> LAND USE REPORT Well, etc.) MAK APIES FOR FILE <br /> RECORD ID: SU0007645 <br /> DATE RECEIVED by EHD: March 20,2009 <br /> Referral Agency STAFF CONTACT: EVA PAGE ADPL 9. PA-0900060 <br /> PE : 2690 <br /> COMPLETE & SUBMIT BY: LOT LINE ADJUSTMENT(LA) <br /> r <br /> �' �" Assigned to : RE0004045 TASIOPOULOS <br /> SITE ADDRESS: 23468 S OLIVE AVE, RIPON <br /> APN : 22815040 41 <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 Pu eyor Name of System <br /> SUMMARY OR COMMENTS: 26 1 <br /> I recommend: Approval � Denial � Continuance � InsPe�t <br /> Supervisor/Lead Senior COMMENTS: Signature. <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval <br /> _.... <br /> �- ProoheadRe � <br /> U.411 rChea-'k' <br /> off Lr p, Aort a. <br /> C : :� Garrett-LAND OSE 7 Date:a <br /> +gree€COI� ITIC3I�I S <br /> ® ..,_. <br /> in LAND, SE <br /> EH 06 06 Report#7201 <br /> March 23,2009 <br />