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wy -G/a - 1"7/Y <br /> CS-Jeo" <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012599 <br /> DATE RECEIVED by EHD: October l 1,2019 APPL#: PA-1900229 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, October 18, 2019 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 23203 S AUSTIN RD, RIPON APN : 22615027,22615028 <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: /amore Public Sewer: Atv e <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ��N 276,- t6'0-77 j„rs ¢!+eAev- ' Z3 z-, j ` �3 7-yj, <br /> Z3 z33 o-el e 3 <br /> I recommend: Approval F-1 Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 14,2019 <br />