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NOTE: PULL ALL lMITS (Septic, Well, etc.) MAKE CIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006590 <br /> DATE RECEIVED by EHD: May 3I,2007 APPL##: PA-0700252 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE: 2622 <br /> COMPLETE& SUBMIT BY: Tue, June 19, 2007 SUBDIVISON-MINOR(MS) <br /> z���& Assigned to : BE0005366 MEDINA <br /> SITE ADDRESS:"�� HWY 88 , LOCKEFORD APN : 01912020 21 <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 /> Density, location of house, wind direction, etc.... <br /> Public Water: � � Public Sewer: <br /> Name of/Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> L <br /> No wU) <br /> 0-64 <br /> aa. o <br /> [ recommend: Approval Denial Continuance Ins ect <br /> Sign tore <br /> 3upervisor/Lead Senior COMMENTS <br /> ;UPERVISOR/LEAD SENIOR Approval: Date: <br /> fDA!1 Clfek Off L.fst: Prts,read Repz�rt� <br /> E orreotCQNI?IXIC3L(S) Logge �n`LANI)•C)"Iaiolc2 t <br /> H 06 06 Report 97201 <br /> Jeune 01,2007 <br />