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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE u6PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004477 <br /> DATE RECEIVED by EHD: May 19,2004 / ADPL#: PA-04-246 <br /> Referral Agency STAFF CONTACT:-RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMITASAW 5 / Assigned to : EE0005366 MEDINA <br /> SITE ADDRES 24939 N GRAHAM RD,ACAMP APN : 00725049 <br /> In completing the Lan Usc-i-nvastigation—dr a 1 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: 1 - Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: I <br /> , <br /> I recommend: Approval Denial F-1 Continuance In or: <br /> nature <br /> Suoervisor/Lead Senior COMMENTS: <br /> L <br /> U <br /> 1 <br /> 4 <br /> JA <br /> 1 <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Y <br /> OA'Ii Che List ' `.-Proofread.R � )7� � 1 Correct LAN SSE#? <br /> 77- <br /> Correct CONDITIN <br /> OS 7 Logged.jn L AND USE Book? <br /> A...s <br /> EH 06 06 Report#7201 Page 1 May 24,2004 <br />