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NOTE: PULL ALL y�tMITS (Septic, Well, etc.) MAKE MES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007221 <br /> DATE RECEIVED by EHD: June 09,2008 APPL#: PA-0800171 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, July 8, 2008 <br /> Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 17700 E LIBERTY RD, GALT APN : 02111002 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> >upplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> 9ensity, location of house, wind direction, etc.... <br /> Public Water: � a?� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> O <br /> - <br /> /i. <br /> 03 Lz ) <br /> aa. of <br /> recommend: Approval Denial Continuance Inspector: jrc� 'Jj, iTC 1 <br /> Signature <br /> ivaervisor/Lead Senior COMMENTS: <br /> E/ <br /> (or) <br /> Jia . t-f�, Ire; ,i�l /,,a <br /> 06 1"L 'e-L 4, ca. �a <br /> r �� Z71 <br /> UPERYISOR/LEAD SENIOR Approcal: Date: ?16 <br /> 0 1: hech�Off List "M Prootrcar112cpolt> :'Correct l.Ai�'D TTS ' '- =':, `r' <br /> Correct CDN DI"r10N(S)? Logged mLAND IlSE 13oo4.?= - ':. <br /> H 06 06 Report#7201 June 10,2008 <br />