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NOTE: PULL ALL 6w&MITS (Septic, Well, etc.) MAKE -,,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006673 <br /> DATE RECEIVED by EHD: August 02,2007 APPL#: PA-0500(14 fE <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2626 <br /> USE PERMIT-GENERAL(UPY---==- <br /> COMPLETE&SUBMIT BY: Tue, August 21, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 23073 S FREDERICK RD, RIPON APN : 22813021 <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 P ey r Name of System <br /> SUMMARY OR COMMENTS: Q <br /> I recommend: Approval Denial Continuance Inspec <br /> Supervisor/Lead Senior COMMENTS: <br /> 12 671b, <br /> ML <br /> ,42 <br /> 42 <br /> SUPERVISOR % ITAI) SENIOR Appro%al: Date: <br /> JCheek OffList: Report? Coned LAND USE Y? <br /> Correct CONDI"IlON(S? Lo, �d in LAND USF Book?: <br /> -H 06 06 Report#7201 <br /> 20 <br />