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NOTE: PULL ALL MITS (Septic, Well, etc.) MAKE 1JIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006800 <br /> DATE RECEIVED by EHD: October 23,2007 APPL##: PA-0700484 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, November 6, 2007 <br /> . Assigned to : EE0005366 MEDINA <br /> SITE ADEIRESS: 13336 E HWY 88 , LOCKEFORD APN : 01902044 <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 leap of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: <br /> ����y Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> G�G'r <br /> I recommend: Approval F4—�Dni I jContinuance In <br /> Sign tore <br /> Supervisor/Lead Senior COMMENTS: <br /> - ZZ ' O <br /> SUPERVISOR/LEAD SENIOR Approval: <br /> _. .:_ <br /> QA:f1 Check Off, "k;t.. P Correct-LAND <br /> 1'roa#kead lte ort? � ;° US>f# <br /> Correct CONDITIONS)?'3 ;k `, bogged is LAND USE Book? <br /> 3H 06 06 Report 47201 October 25,2007 <br />