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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011263 <br /> DATE RECEIVED by EHD: March 10,2017 APPL#: UP-980001 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2626 <br /> USE PERMIT-GENERAL(UP) RAIN <br /> COMPLETE & SUBMIT BY: Tue, April 4, 2017 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18700 E RIVER RD, RIPON APN : 24522020 <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 /> SUMMARY OR COMMENTS: <br /> Name of Purveyor Name of System <br /> �,n <br /> I recommend: Approval -Denial Continuance ❑ Inspector: <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 1106 Report 47201 Much 10,2017 <br />