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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011145 <br /> DATE RECEIVED by EHD: December 09,2016 APPL#: PA-1600278 <br /> Referral Agency/S�TAFF CONTACT: STEPHANIE STOWERS PE : 2690 <br /> /, ` AA�1L�J1�1LLI��11�, LOT LINE ADJUSTMENT(LA) <br /> COMtHIv I11;1w�1Fr+BY,.. Fri, December 16, 2016 Assigned to : EE0004045 TASIOPOULOS <br /> SITE"DRESS: '' 2112'000 SS HWY 99 /E FRONTAGE RD, RIPON APN: 22810023 <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 /> �vJ d <br /> I recommend: Approval Denial Continuance inspector: <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II Check OH List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 12,2016 <br />