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NOTE: PULL ALL,,ERMITS (Septic, Well, etc.) MAKE---AES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004821 <br /> DATE RECEIVED by EHD: February 08,2005 APPL#: PA-05-40 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2690 <br /> 1 l LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BYAk=IRYO 2U/6 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 24023 S OLIVE RD, RIPON APN : 25727061 &62 <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 /> -66,67-26a)/8,7—d: ZTjO <br /> irl�s �-3G <br /> 6- T�F7&OL/ <br /> I recommend: Approval Denial Continuance Inspectors <br /> 4W.'-",f&-77t 2 5;f—��/� c?� Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ! d <br /> Z • a � <br /> 1 � 6 <br /> z- 2S' oi <br /> SUPERVISOR/LEAD SENIOR Approval: Date: -2-ZZLZ6 <br /> OA I!Check Off List: Proofread Report!---"' Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 Page 2 February 10,2005 <br />