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NOTE: PULL ALL ,RMITS (Septic, Well, etc.) MAKE �,_,-PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005665 <br /> DATE RECEIVED by EHD: October 05,2005 APPL#: PA-0500626 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2690 <br /> COMPLETE& SUBMT LOT LINE ADJUSTMENT(LA) <br /> ��TV <br /> IT � <br /> h � ! Assigned to ; EE0005366 MEDINA <br /> SITE ADDRESS: 10911 N HWY 88 , STOCKTON APN : 0;*Nek 23 <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 ma^ ho�Iro u <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor J} Name of System <br /> SUMMARY OR COMMENTS: �� , —�� ��� '�� ��� r� �'� %z•/cr C-�//Cl �.� <br /> f./ r���y''.,.e-x... C]/�'�" Ge.e�i.� t r�//rl�— ���.�.�f r^r✓i �rrz.1C <br /> I recommend: Approv Denial ❑ Continuance ❑ I pec \ <br /> gnature � <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: (f <br /> OA Off _:.. <br /> Check© List Proofread Tteport? Correct LA SE# <br /> : Coitect CONDITION(S)? Logged.in LAND USE Book?" <br /> EH 06 06 Report#7201 October 06,2005 <br />