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I near-TE: PULL ALL1r1F-RM!TS tiept„-, !moll, o#r,) MAKE COPES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007116 <br /> DATE RECEIVED by EFID: April 08,2008- APPL#: PA-0800112 <br /> Referral Agency STAFF CONTACT: MOCHA PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE. & SUBMIT BY:LTI May o, 2008 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 19959 S NOR H RIPON RD, RIPON APN : 24516012 <br /> In completing the Land Use investigation, draw -Ghc 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 Pur eyor Name of System <br /> SUMMARY OR COMMENTS: G s, ._ I ,r � Z J � � L `I <br /> :�tUJ 'rx"-w/✓ ,'�tJ ru�IW✓► � .CLIL+s��i� � !�-Gl1�r� <br /> t 771' <br /> I recommend: ApprovaoT Denial F Continuance Inspector: ✓ �- <br /> " Signat e <br /> Supervisor/Lead Senior COMMENTS: <br /> 2- , 20 y <br /> nal LN <br /> ILvlis� 7�c.� <br /> . v <br /> t <br /> r <br /> SUPERVISOR/ LEAD SENOR Approval: 6.. Date: <br /> OA iI Cireck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)`? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Api;I i , ,,, <br />