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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br />LAND USE REPORT RECORD ID: SU0006545 <br />DATE RECEIVED by EHD: April 30, 2007 <br />Referral Agency STAFF CONTACT: ANTONIO SALCEDO <br />COMPLETE & SUBMIT BY: Tue, May 22, 2007 <br />APPL #: PA -0700113 <br />PE : 2606 <br />EXCAVATION - AGRICULTURAL (AX: <br />Assigned to : EE0004045 TASIOPOULOS <br />SITE ADDRESS: 19523 S WILLIAMS WY, RIPON APN : 24513038 <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 />3ensity, location of house, wind direction. etc.... <br />Public Water: - <br />Name of 1 <br />Public Sewer: _ <br />Name of System <br />SUMMARY OR COMMENTS: <br />[recommend: Approval Denial Continuance Inspe"r- <br />ure <br />3unervisor/Lead Senior COMMENTS: <br />'7 <br />SUPERVISOR / LEAD SENIOR Approval: `� G `� Date: <br />OA 11 Check Off List: Proofread Report? Correct LAND USE 4 ? <br />Correct CONDITION(s)? Logged in LAND, USE Book? <br />;H 06 06 Report #7201 April 30, 2007 <br />