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N0 7 E: PULL ALL.,_..,.RMITS (Septic, Well, etc.) MAKE ....:PIES FOR FILE <br /> LAND USE REPORT MR RECORD ID: SU0006911 <br /> DATE RECEIVED by EHD: December 24,2007 APPL#: PA-0700557 PRE-APP_ pre-Applica <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2687 <br /> GP AMENDMENT<5 acres(GP) <br /> COMPLETE & SUBMIT BY: Wed, January 2, 2008 <br /> Assigned EE0004045 TASIOPOULOS. <br /> SITE ADDRESS: 20270 S HWY 99 , RIPON APN : 22806015 — <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 Purve or Name of System <br /> SUMMARY <br /> OR COMMENTS: <br /> L. <br /> "y7 ► �- <br /> ell <br /> I recommend: Approval n Denial Continuance Insp r: <br /> Supervisor/Lead Senior COMMENTS: f� <br /> —� <br /> iUPERVISOR/ LEAD SENIOR Approval: Date: / <br /> OA 11 Check Off List: Proofread Rcport? Correct LAND USI:#? <br /> Correct C'0ND1TI0N-,Sl': Logged in LAND USE Book? <br />:H 06 06 Report#720! 1:leeembc�'"-?�u,� <br />