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NOTE: PULL ALL t _AMITS (Septic, Well, etc.) MAKE MIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU000470 (GP) & SU0004708(ZR) <br /> DATE RECEIVED by EHD: November 15,2004 APPL#: PA-04-66 GPI PA-04-668 (ZR) <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2691 (GP) & 2666 (ZR) <br /> GEN PLAN AMENDMENT 10+acres(GP) <br /> COMPLETE& SUBMIT BY: Wed, December 1, 2004 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 19730 N WINDWOOD DR, WOODBRIDGE APN : 01502061 <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(t-ho e, w'nd direction etc <br /> Public Water: Public Sewer: <br /> Name ofPurvryor Kame of System <br /> SUMMARY OR COMMENTS: <br /> �o. ya <br /> I recommend: Approval Denial Continuance Ins c :� <br /> (_,Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> �l <br /> p., p <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? t /i Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 8 November 17,2004 <br />