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k <br /> NOTE: PULL ALL',.- AIRMITS (Septic, Well, etc.) MAKE 4--IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006278 <br /> DATE RECEIVED by EHD: September 26,2006 APPL##: PA-0600490 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: AbARBY <br /> Assigned to: EL0004045 TASIOPOULO5 <br /> SITE ADDRESS: 16552 S NORTH RIPON RD, RIPON APN : 20309013 14 06 <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 o Purveyor Name of System <br /> SUMMARY OR COMMENTS: ',7 D6 j,�4 �`� o <br /> UU <br /> I <br /> I recommend: ApprovalEl <br /> Denial E] Continuance ❑ Inspector• --` <br /> �gna ure <br /> Supervisor/Lead Senior COMMENTS: <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> O`A�1f`Cfieck Off its . nadeo� <br /> n�•t3�I .� (. `�Y' �� �.:�� 411 ,I, �U <br /> EH 06 06 Report#7201 September 27,2006 <br />