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NOTE: PULL ALL�AMITS (Septic, Well, etc.) ;MAKE IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006169 <br /> DATE RECEIVED by EHD: August 08,2006 APPL#: PA-0600411 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: SARBY <br /> _Ai <br /> Assigned to : EE0005365 MEDINA <br /> SITE ADDRESS: 8348 E SOUTH ORCHARD RD,ACAMPO I APN : 01721013 <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 f Purveyor Ij Name of System T <br /> SUMMARY OR COMMENTS. <br /> I� <br /> I� <br /> I <br /> II <br /> II <br /> �I <br /> I recommend: ApprovalLj <br /> Denial Continuance :, I sperm <br /> f � <br /> Supervisor/Lead Senior COMMENTS: Sig ature <br /> k II <br /> ik <br /> I! <br /> I� <br /> i <br /> M <br /> I� <br /> IN <br /> IM <br /> t <br /> ' I� <br /> F SUPERVISOR/LEAD SENIOR Approval: � -�"`t '� Date: �'�� 04b <br /> sw <br /> Oa.1l:Diibc7�C? is#F f %%` freryrya�����{�ePo `� �ry {lam1D�1E�Z}ja <br /> f I k } J17�1i4D4R� �-�....� j� Yds` t+ R3� R'.• tl <br /> P <br /> l7 �f <br /> I <br /> ' EH 06 06 Report#7201 August 08,2006 <br /> i <br />