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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010698 <br /> DATE RECEIVED by EHD: November 20,2015 APPL#: PA-1500226 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: r�� <br /> 1! 2015 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 23540 S SANTA FE RD, RIVERBANK APN: 24907042 <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: �Z/111r till <br /> I✓ GI.R' <br /> I I 11 't6 <br /> I recommend: Approval Denial Continuance Inspee�-"- - <br /> _ G� �gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> ln,�j G�✓l <br /> SUPERVISOR/ LEAD SENIOR Approval: - Date: 17/ <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE,Hook? <br /> EH 06 06 Report#7201 November 23,2015 <br />