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—t-1 jdak <br /> NO'S'E: PULL ALL � MITE (Septic, Well, etc.) MAKE , MES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006581 <br /> DATE RECEIVED by EHD: May 30,2007 APPL#: PA-0700208 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, June 19, 2007 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 11487 E LOCKE RD, LOCKEFORD APN : 05116007 <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: /;0-1�--- Public Sewer: <br /> Nam!of Purveyor Name of System <br /> SUMMARY OR COMMENTS: /��— <br /> C� <br /> I recommend: Approval enial Continuance ❑ I pectora ��, <br /> S' nature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: L <br /> ,TII � <br /> ODIW' W <br /> P., <br /> ; <br /> cList � <br /> LH 06 06 Report#7201 May 30,2007 <br />