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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010081 <br /> DATE RECEIVED by EHD: May 29,2014 APPL#: PA-1400100 <br /> Referral Agency STAFF CONTACT: RICK RIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: A61AR-By.1 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 12177 E WEST RIPON RD,RIPON APN: 22814013 16 <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: �- <br /> Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 4�)) / <br /> r <br /> T �4 yif� ✓l3�� Q� YT/��,. L4 r��� l Se,."T7lc Su�t'�c�..�S <br /> �Gq. <br /> I recommend: Approval Denial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: L <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 29,2014 <br />