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NOTE: PULL ALL Y&, MITS (Septic, Well, etc.) MAKE L,�PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005668 <br /> DATE RECEIVED by EHD: October 05,2005 APPL#: PA-0500642 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 18, 2005 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 9120 E LIBERTY RD, GALT APN : 3 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., 00^ PW <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing p pu atidh <br /> density, location of house, wind direction, etc.... <br /> Public Water: / yam Public�ewer: y <br /> Name fPurve or Xo1 NameofS stem <br /> SUMMARY OR COMMENTS: <br /> Na <br /> �i�4L�QJ-t.� � �+-P/f�ciYL '�r- GtFY/ �C r_,fp� /i✓/!P <br /> oh„r'r3 exf7-e do 7-"7�4- xrk'4- . <br /> CD <br /> -"!!5--' <br /> I recommend: Approval Denial El Continuance In r: <br /> Signator :. <br /> Supervisor/Lead Senior COMMENTS: <br /> 72; 0 I wird <br /> /l soq . <br /> -77 t �. <br /> SUPERVISOR/ LEAD SENIOR Approval: �' "; _ - - Date: l <br /> OA II Check Off List: Proofread Report? - Correct LAND USE#? 7Correct CONDITION(S)? .Logged in LAND USE Book? ... <br /> EH 06 06 Report 47201 October 06,2005 <br />