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NOTE: PULL ALL I,.�MITS (Septic, Well, etc.) MAKE 4 IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006727 <br /> DATE RECEIVED by EHD: September 10,2007 APPL#: PA-0700413 <br /> i Referral Agency STAFF CONTACT: PATARIQK CROSBY PE : 2690 <br /> A39p--B- y: LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 15300 W SANTOS AVE, RIPON APN : 24518018 11 <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: CI � � <br /> k <br /> 4A , <br /> i <br /> I recommend: Approval.PPq,,.Denial ContinuanceInspector• <br /> Ktore <br /> Supervisor/Lead Senior COMMENTS: <br /> x 1 J v`J <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: Date: f <br /> OA'°=I!Check,Off'List_ Pxgof ead e rctrk?' Correct z77b 1JSE-#?- <br /> ` n �;.vneet CONDFTION(�)'� . .. ._ , . �vggedriin LAND L3SE�Bov)c7. <br /> EIS 06 06 Report 07201 September 11,2007 <br />