Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500009846 <br /> DATE RECEIVED by EHD: December 12,2013 APPL#: PA-1300215 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE: 2690 <br /> A 04I' ,� y-0 LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: F �d9 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17670 E RIVER RD, RIPON APN: 24520008 27 24522021 <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: <br /> l�snL/K�_-P /�ctr�lir e �e4 vtdT /+�1/brr}�we. <br /> Irecommend: Approval DenialEl <br /> Continuance Inspect <br /> Supervisor/Lead Senior COMMENTS: <br /> Signature <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Il heck i • Proofread Report? Cot rest LAND USE#? <br /> Correct CONDITION(S)? loggcd iu LAND USE Book? <br /> �� I..In Kgart;n,in Dcccm her 12 <br />