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NOTE: PULL ALL 0911MITS (Septic, Well, etc.) MAKE 4VYIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004526 <br /> DATE RECEIVED by EHD: June 30,2004 APPL#: PA-04-294 Pre-Application <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2622 ' <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Wed, July 14, 2004 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 13422 E HAMMOND ST, LOCKEFORD APN : 01962635 <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=/ ', <br /> irection, etc.... f <br /> Public Water: ( ' �,,..�„fiic Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> oy <br /> c <br /> I recommend: Approval 1����U—ental ContinuanceEl Ins =yy���_' N <br /> IJ El Continuance Yignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: '" v <br /> OA 11 Check OH List: ProofreadReport? V "' Correct LAND USE 4? <br /> Correct CON DITION(S)? Logged in LAND USE Book? <br /> f 11 n6 06 Page I July 08,2004 <br />