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r. , <br /> NOTE: PULL AL, ERMITS (Septic, Well, etc.) MAK OPIES FOR FILE <br /> LAND USE REPORT _ - RECORD ID: SU0007602 <br /> DATE RECEIVED by EHD: February 23,2009 APPL#: PA-0900033 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE & SUBMIT BY: Wed, March 11, 2009 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 17436 N HWY 88 , LOCKEFORD APN 05125012 13 <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: O Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ,/ f <br /> f <br /> I recommend: ApprovalDenial Continuance I specto . <br /> tn-- <br /> ature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> D�4 11 ChO <br /> ckflff Lrst '° P.x�ofread`Ee Cancel LAei{SE# <br /> .. !C -cup g I ogged LAND BaoIc . <br /> m _ <br /> EH 06 06 Report#7201 February 24,2009 <br />