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NOTE: PULL ALLftRMITS (Septic, Well, etc.) MAKE MPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006052 <br /> DATE RECEIVED by EHD: May 16,2006 APPL#: PA-04213 TE <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, June 6, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 17510 N TRETHEWAY RD, LOCKEFORD APN : 05118018& <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 /> <; <br /> I recommend: Approval Denial Continuance Insp ctor: <br /> ' gature <br /> Supervisor/Lead Senior COMMENTS: <br /> �Z <br /> SUPERVISOR/LEAD SENIOR Approval: r Date: S Z2 <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 17,2006 <br />