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S <br /> NOTE: PULL ALL _AMITS (Septic, Well, etc.) MAKE L,_.PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005640 <br /> DATE RECEIVED by EHD: September 20,2005 APPL 4: PA-0500440 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2690 <br /> COMPLETE&SUBMIT LOT LINE ADJUSTMENT(LA) <br /> Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 1.1900 E LOCKE RD,LOCKEFORD APN : 05116004,20& <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: efx Public Sewer: <br /> N�Te of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �. <br /> I recommend: Approval Denial Continuance In �--µ- <br /> ' S' nature <br /> Supervisor/Lead Senior COMMENTS: <br /> >4 <br /> J <br /> SUPERVISOR/LEAD SENIOR Approval: _11Date:- <br /> _»� z 'soofread Re ort! �� . ..� 1 <br /> SOA I!Cheek Off List., Cbiect"CONDITIO.:.�S ? �o� ANC3 t 1 , <br /> LAND US ok <br /> EH 06 06 Report#7201 September 21,2005 <br />