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NOTE: PULL A PERMITS (Septic, Well, etc.) MAI %-.OP1ES FOR FILE <br /> LAND USE REPORT RECOR ID: SU0007623 <br /> DATE RECEIVED by EHD: March 06,2009 APPL#: PA-0900047 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br />� COMPLETE& SUBMIT BY: <br /> Assigned to : EE0005366 MEDINA <br /> V I <br /> SITE ADDRESS: 11386 E LIBERTY RD,LOD APN : 00713012 13 14 <br /> I. 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 /> I <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 0� <br /> i <br /> I <br /> I recommend: Approval ental Continuance F-1 Insp <br /> Signa re <br /> I <br /> Supervisor/Lead Senior COMMENTS: <br /> -AID <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 0;4 f!ChCk Off Ltst Pioc#lead Rep 7. Corre f LAND USE#? <br /> :. <br /> _CO <br /> In NDITff N(S) tl in I r ND LiSE F3oak . <br /> _. C <br /> I <br /> I <br /> i <br /> EH 06 06 Report#7201 March 09,2009 <br />