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a 1� <br /> a . <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009069 <br /> DATE RECEIVED by EHD: February 21,2012 APPL#: PA-1100151 <br /> Referral Agency STAFF CONTACT: J PE : 2690 <br /> ri M- 9 LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17576 E RIVER RD,RIPON APN: 24520010 <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: A4 J �� � �� :)-- n / ' <br /> r <br /> [ recommend: Approval� Denial Continuance F-1 Ins <br /> 'gent re <br /> EJ <br /> Sunervisor/Lead Senior COMMENTS: <br /> r <br /> rIk/I <br /> Gol <br /> oF <br /> SUPERVISOR/LEAD SENIOR Approval: - Date: r/ <br /> NNE= <br /> EH 06 06 Report#7201 <br /> February 21,2012 <br />