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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010739 <br /> DATE RECEIVED by ERD: January 08,2016 APPL#: PA-1500272 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> CQI� 1 'BY. g LOT LINE ADJUSTMENT(I A) <br /> JJ��t Fri, January 15, 2016 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 20778 S NORTH RIPON RD, RIPON APN : 24515025,59&60 <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 d' etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 0,12 — r'7!'� r77!Y Jam. / �Ijtt�tit,✓zSi ��t -Sh-4 _ <br /> A <br /> I recommend: Approval FRI Denial Continuance ❑ Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: i <br /> _ � n <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA It Check Off List: Proorread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 January 08,2016 <br />