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NOTE: PULL ALL RMITS (Septic, Well, eta) MAKE' hIES FOR FILE <br /> LAND USE REPORT RECORD ID: SUD004559 <br /> DATE RECEIVED by EHD: July 13,2004 APPL#: PA-04-373 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Tue, August 3, 2004 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 12505 E BRANDT RD, LOCKEFORD APN : 05132010 <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 pin paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: iya� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: / <br /> _ ,� �� L����! iC+��...✓s l'_..vl. Ct..��crr,! i.��8. �i-`. '�� -�QG'i✓•n.r.C�3� <br /> `- ////`CH.'S �/e��J �/o � � r-,vrs� � /l�.�c�lG( �.✓�� <br /> !/I <br /> i <br /> 7,< r� <br /> -/ <br /> �+%(7'-2S ACX- -,rq� 7�i.,�.,�. /`��i,•,, -T.�a>.�s/��. ,: �. .�<.�� S7 <br /> a <br /> I rI r� men Approval Denial Continuance inspector: <br /> -.,Approval <br /> r/tea-- o� C %nature <br /> Supervisor/Lead Senior COMMENTS: �/ �q�QJ�-•� <br /> 13. // :a S fit) <br /> cam. t1- K -03Y3 <br /> or <br /> u-. ioz ; o6 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: d <br /> +dA: 'Check <br /> . Ott"' It Proofread Report? CoiredLAND USE#? <br /> _ <br /> Correct CONDI110oka),r -. Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 6 July 16,2002 <br />