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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009737 <br /> DATE RECEIVED by ERD: August 26,2013 APPL#: PA-1300141 <br /> Referral Agency STAFF CONTACT: RICK GRIFFEN PE : 2622 <br /> _ _- --- SUBDIVISON-M � <br /> COMPLETE&SUBMIT BY: Tu�September 17, OJ <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 19654 S NORTH RIPON RD,RIPON APN : 24515001 <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: ON rs Prs L, <br /> 0 <br /> ' I , <br /> .7 <br /> 5uk pr wWtwA.N ! 2L�6 09.r�c[Ivra( Sa c c vtcw4. C) nwlt�x <br /> 6L, L L 9wn� A �w�e rl c erA w re n3.o� <br /> I recommend: ApprovalDenial Continuance Inspector• <br /> e <br /> Supervisor/Lead Senior COMMENTS: <br /> l 1 , l I Pr''''y + �:�SoY�cv'<<•Jrn 9'IS ;?avwC.. fnu�' ` ` <br /> .yokA S5 LfL trtC <br /> ^ls - Ci 5 S r ifs f Jv (w.lul�w(.t.,y (YJ-"• y�1'1Aa.Gj 'No'1-r�� 01 u, <br /> SUPERVISOR/ LEAD SENIOR Approval: _ Uate: <br /> OA If Check Off List: Proofread Report:' Coirecl LAND 11SI, <br /> _Correct C0ND1IION(S)2 Logged in LAND USI, hook:' <br /> EH 06 06 Report#7201 <br />