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NOTE: PULL ALL1,21KMITS (Septic, Well, etc.) MAKE._.+IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005302 <br /> DATE RECEIVED by EHD: August 15,2005 APPL#: PA-0500518 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2690 <br /> a Pot LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY ` ,r <br /> Assigned to • EE0005366 MEDINA <br /> SITE ADDRESS: 22505 N JOHNSON RD, CLEMENTS APN : 02310009& <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: �r ,` _ _ Public Sewer: <br /> Name P rve or Name of System <br /> SUMMARY OR COMMENTS. +' �p��'- <br /> I recommend: Approval Denial Continuance Ins <br /> S gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> .01 <br /> f <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: !Z <br /> OA//Check Off List: Proofread Report? C6rfect LAND USE#? <br /> Correct CONDITION(S) ?.. : . -Logged in LAND USE-Book? <br /> EH 06 06 Report#7201 August 15,2005 <br />