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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012700 <br /> DATE RECEIVED by EHD: December 16,2019 APPL#: PA-1900289 <br /> Referral Agency STAFF CONTACT' RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, December 20, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 20778 S NORTH RIPON RD,RIPON APN: 24515063,24515066 <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: /V0"P— Public Sewer: /V 0 N <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: LIA <br /> z est �C) (0 5 t_ M <br /> SticE z I z-2>1 krA <br /> �-c:1c�-a��y� o+� �r c�, c_�n,l t^J�c c- 0 N <br /> 5{riQ t S-t, <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 17,2019 <br />