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NOTE: PULL ALL i-a*MITS (Septic, Well, etc.) MAKE Oz#IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006050 <br /> DATE RECEIVED by ERD: May 16,2006 APPL#: PA-0600268 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE At SUBMIT BY: Tue, June 6, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 13392 E LOCKEFORD RANCH DR,LOCKEFORD APN : 05131041 <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: <br /> oL <br /> ao. of <br /> I recommend: Approval EjDenial F-1 Continuance I pec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> AW <br /> CJ <br /> 2 05 <br /> SUPERVISOR/LEAD SENIOR Approval: Datc: S' 2 D <br /> EH 06 06 Report#7201 Dos} 17,210-, <br />