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NOTE: PULL ALL'I'ERMITS (Septic, Well, etc.) MAKE'udPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006021 <br /> DATE RECEIVED by EHD: May 03,2006 APPL#: PA-0600205 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> � Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 12403 E LOC , APN: 05129009 10 11 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �y� <br /> I recommend: Approval.Pr Denial Continuance Ins ector- <br /> si nature <br /> Supervisor/Lead Senior COMMENTS: <br /> t�(o <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> to eC I?Tr <br /> nLA pE�op <br /> BH 06 06 Report 47201 May 04,2006 <br />