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t <br /> ky; .NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006230 <br /> DATE RECEIVED by EHD: August 31,2006 ADPL#: PA-0500509 REV <br /> k Referral Agency STAFF CONTACT: MO HATEF PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> F COMPLETE&SUBMIT BY: eyed, September 13, 2006 <br /> +, Assigned to : EF-0005366 MEDINA <br /> SITE ADDRESS: 14400 E HWY 88 , LOCKEFORD APN : 01911026 20 12 <br />` In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> 4 supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete neap 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: <br /> I recommend: Approval Denial ❑ Continuance F-1 <br /> Si nature <br /> Supervisor/Lead Senior COMMENTS: <br /> a,(z 0 ��, Gvt�tdr�i -- r4 rs �e<;-.A ✓i.c�dr r-e-cL <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ofo <br /> M <br /> r3~JAlxhec OtffLlst ,r 1?rCo�read epa ° USE# <br /> wt�Y}r{ <br /> W'1�`A� <br /> him. �Nl� <br /> EH 06 06 Report#7201 August 31,2006 <br />