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NOTE: PULL ALL---RMITS (Septic, Well, etc.) MAKE ..`PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005909 <br /> DATE RECEIVED by EHD: February 07,2006 APPL#: PA-0600059 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, March 7, 2006 <br /> Assigned to : EI✓0004045 TASiOPOULOS <br /> SITE ADDRESS: 18000 E RIVER RD, RIPON APN : 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: ff--/. <br /> // 1 �. a L✓• <br /> -I've c4�eEi. ✓1A � Parc a A <br /> i L S/� �Cvr c -GCC/ J <br /> 11 'O/ W uss el-0 V- car rs� a t�a,f rZIA0V <br /> (� 11 <br /> I recommend: Approval Ej Denial F-1 Continuance Inspects:- <br /> �J' w Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> OL �� eA � � � ffL <br /> t u� <br /> L -5 S'11 <br /> �t I'm � r' I .-(tn <br /> !z S s <br /> c f- ' <br /> 2 a A_A s 42- 65' o-L /r CA <br /> 0 a <br /> D <br /> SI!PERVISOR/ LEAD SENIOR Approval: <br /> OA !I Check Off List: Proofread Report? Correct LAND USE# z <br /> Correct CONDITION(S)?- Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 07.2006 <br />