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F <br /> NOTE: PULL ALL(,__ -RMITS (Septic, Well, etc.) MAKE U, IPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005257 <br /> DATE RECEIVED by EHD: August 01,2005 APPL##: PA-0500467 Pre-Application <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE& SUBMIT BY: Wed, August 70, 2005 <br /> Assigned to : EE0005366 MEDIN'A <br /> SITE ADDRESS: 26618 N LOWER SACRAMENTO RD, GALT- APN : 00503008 <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: p <br /> Purveyor Name of System <br /> SUMMARY OR COMMENTS: . <br /> T <br /> I recommend: Approval Denial ❑ Continuance Ins ec <br /> Si nature <br /> Supervisor/Lead Senior COMMENTS: <br /> w i <br /> L <br /> SUPERVISOR/LEAD SENIOR Approval: Date: du <br /> Proofread Re 6rt,,:' �: .- R:... <br /> OA If Check Off ListP , .. Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book?' <br /> EH 06 06 Report#7201 August 02,2005 <br />