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NOTE: PUL€. ALr `ERMITS (Septic, Well, etc.) MAK PIES FOR FILE <br /> Y <br /> LAND USE REPORT RECORD ID: SU0007878 <br /> DATE RECEIVED by EHD: August 24,2009 APDL#: PA-0900189 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA)COMPLETE&SUBMIT BY: r P. r <br /> I <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17604 E EUGENIA AVE, RIPON APN : 24521028 29 <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 Sewei-.----�' <br /> Name of P eyor Name of System <br /> SUMMARY OR COMMENTS: S <br /> e- v <br /> I recommend. Approval Denial Continuance Inspec _� =y <br /> / Signature <br /> Supervisor/Lead Senior COMMENTS: A' - <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: ji <br /> +01"I rl Check Of3�Lrst "Proofaxi-Report?: ° <br /> 6f ectCOIDITION �� . <br /> } �m , Lo ed�n NJ)t$ hook. <br /> EH 06 06 Report 47201 August 25,2009 <br />