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all ' <br /> NOTE: PULL ALL -RMITS (Septic, Well, etc.) MAK JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005774 <br /> DATE RECEIVED by EHD: November 16,2005 APPL#: PA-0400667 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Wed, November 30, 2005 <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 of house, wind direction, etc.... <br /> Public Water: .� /�r�, Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS://��/ <br /> 7 <br /> I recommend: Approval Denial ❑ Continuance ❑ Insp or: , <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> -� 92all <br /> w - <br /> i <br /> Date: > <br /> SUPERVISOR/LEAD SENIOR Approval: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#7 <br /> L Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 21,2005 <br /> 1 <br />