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NOTE: PULL AL'Ir eERMITS (Septic, Well, etc.) MAKE-.:)PIES FOR FILE <br /> LAND USE REPORT r RECORD ID: SU0005782 <br /> DATE RECEIVED by EHD: November 21,2005 APPL#: PA-04180 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2626 <br /> USE PERMIT-GE ERAL(UP) <br /> COMPLETE&SUBMIT BY: Sat, November 26, 2005 .::.n YY <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 16750 E ST RT 88 HWY , LOCKEFORD APN : 01918035 <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 /> I recommend: Approval ❑ Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ctd 6 <br /> t <br /> SUPERVISOR I LEAD SENIOR Approval: Date: <br /> ,4f1 ChecOffLrsti;Mw <br /> .. W-M d E_x& z --eke <br /> k <br /> EH 06 06 Report#7201 November 22,2005 <br />