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7-1 <br /> NOTE: PULL ALL k__,tMIT3 (Septic, Well, etc.) MAKE ,,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006137 <br /> DATE RECEIVED by EHD: July 14,2006 APPL#: PA-0600374 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: (Z A <br /> RY1- <br /> � Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 187 W RIVERWOOD DR, WOODBRIDGE APN: 01554035 34 36 <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: " ,rya <br /> Name of Purveyor Dame of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: ApprovalFr Denial ❑ Continuance Ins r: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR I LEAD SENIOR Approval: _- Date: <br /> IAk Progfread Rpo ?°:. :Gorx D E. <br /> S� �'l i� ec Off Lrsf <br /> or S i3Yn o <br /> EH 06 06 Report#7201 July 17,2006 <br />