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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011224 <br /> DATE RECEIVED by EHD: February 09,2017 APPL#: PA-1700016 <br /> Referral Ad'�a �S �tC�I T�CT: <br /> Y: GIUSEPPE SANFILIPPO PE : 2690 <br /> r/ � LOT LINE ADJUSTMENT(LA) <br /> Fri, February 17, 2017 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 10650 E WEST RIPON RD, RIPON APN : 25724053 <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, w' ttan,etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 4, /d/y <br /> n <br /> r S.e,�7c <br /> I recommend: Approval- Denial ❑ Continuance Inspecto <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> ob 1112c <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> O III h ck ff List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 10,2017 <br />