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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500010991 <br /> DATE RECEIVED by EHD: July 25,2016 APPL#: PA-1600171 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BV: Tue, August 76, 2076 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18447 E HWV 120 , RIPON APN : 20507039 <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: L �S7T ��Y�.v�i(c,�t wYiG�i.� oHc A— <br /> ILO <br /> /:04�i� "' Srw.w�c�crr�G,+..�r�. i�nmc�!v� � O�L) - 5/✓r""P�� /1wtt.(��� <br /> I recommend: Approval Denial ❑ Continuance Ins <br /> Signature <br /> S,Su ervisor/Lead Senior COMMENTS: <br /> �q <br /> al 41 ss �� <br /> Nom , 5R W 5C <br /> a �aiN)i< Dc�rf�� <br /> 03 Cat1 - •S,tw,W,� L,"A I�u4.;Z ov- SS` <br /> 01 - TASK <br /> llo,s;� fu-c�c�%n�/ ) I L <br /> 'l ) Z'Z u ��p � '�1��.170 Wt,(�S�C L L•/•G(�LLE./ U/.l.E/� a� D J.f��� S M l v VX. - <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: Y� <br /> OA 11 Check OH List: Proofread Report Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br />