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CNOTE; PULL Al RMITS (Septic, Well, etc.) MAK,F PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007943 <br /> DATE RECEIVED by EHD: October 09,2009 APPL#: PA-0900247 <br /> Referral Agency STA:FF'CONTACT: MO HATEF PE : 2690 <br /> 094 a LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: AbAF"'BY" - <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 16533 FRANSCELLA LN, RIPON APN : 20322006 07 <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: Z:--� �- Public Seg <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance InspeC <br /> ignature <br /> Suoervisor/Lead Senior COMMENTS: \ <br /> SUPERVISOR/LEAD SENIOR Approval: Date: U CJ <br /> OAt Ce�is Lr�>! ProfreRepa Coact LlD USE# <br /> JIM' iFftw.' <br /> Iirreti OONTJLTION S. Lammed AIDE Bgak? <br /> EH 06 06 Report#7201 October 13,2009 <br />