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s <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SIJ0004730 <br /> DATE RECEIVED by EHD: November 30,2004 APPL#: PA-04-667 <br /> Referral Agency STAFF CONTACT: RAYMOND HOOw <br /> PE : 2622 <br /> b SUBDIVISON-MINOR(NIS) <br /> COMPLETE & SUBMIT BY: Wed, December , 2004 ! 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 /> d piece of plain paper, draw complete map of area showing population <br /> supplies, etc...). Where necessary, on an attache <br /> density, location of house, wind direction, etc.... *i�9—r Public Water: , Y��YL PfMtL� Public Sewer: �, 3(,MName of Purveyor Namy <br /> SUMMARY OR COMMENTS: <br /> a <br /> r <br /> n <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> SuDervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> �/1 <br /> EH 06 06 Report#7201 December 13.2004� (� �,y <br />