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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011697 <br /> DATE RECEIVED by ERD: March 12,2018 APPL#: PA-1800046 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, March 16, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 20107 S NORTH RIPON RD, RIPON APN : 24516013,24516041 <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: Nem Public Sewer: Na,, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 3hs►Is o4-&tie altpl,-c-"41w rogoeL�j . <br /> QV�L fift wN Per✓nr4 0. F'It. <br /> Olr- ezDrrsj n.,. 9'1e• <br /> - Uy.� c-tN��C {T+••K �loe.n n"<..� PCfrr.��' Ow �'I V. <br /> torn me,l,{-5: <br /> x)06 <br /> I recommend: Approval © Denial ❑ Continuance ❑ Inspector: Naaeeww rg" <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> II h k ff i : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EFI 06 06 Report 47201 March 13,2018 <br />