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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010292 <br /> DATE RECEIVED by EHD: November 06,2014 APPL#: PA-1400224 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: AQ Pj;V1 <br /> �� . Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 12733 E VAN WYK LN, RIPON APN : 22808004 16 17 18 <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 /> ?S s W <br /> I recommend: Approval Denial Continuance ElInspe <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: ' <br /> a4.U4-- 60 tM s <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z� <br /> k Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 12,2014 <br />