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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013294 <br /> DATE RECEIVED by EHD: May 15,2020 APPL#: PA-2000069 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, June 18, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 23203 S AUSTIN RD,RIPON APN: 22615027,-28 <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 Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Pa,G¢�' z z-G-%sy -2 7 Ltas lac F'�C��'qW.-0Js Qsz32 /s- <br /> z3233 zW Z3V23 <br /> �L� r.�G�S e S�i0�j c ���• tC a'a <br /> '�`E�T.1) ri►C Pi:�,C(� ti� 'MJF%�/'d� <br /> SS cI� 5� 207.3- <br /> I recommend: Approval ❑ Denial F] Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 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 May 18,2020 <br />