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r NOTE: PULL ALL MITS (Septic, Well, etc.) MAKE L- IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006674 <br /> DATE RECEIVED by EHD: August 02,2007 APPL#: PA-0700332 <br /> Referral Agency STAFF CONTACT: JASON.TONES PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> ASAP--ffw, Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 11288 E LIBERTY RD, GALT APN : 00713002 05 <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: w� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> oc <br /> I recommend: Approval Denial Continuance Ins ctor: <br /> Signat re � <br /> Supervisor/Lead Senior COMMENTS: <br /> /1/o <br /> i SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA Il Check,Offdist. 'roofread Depart?' Correp-MAND .S13# _ <br /> c orrgcvt2? ILt L'ogged"n l I7 USEJ3' <br /> EH 06 06 Report#7201 August 03,2007 <br />