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MOTE: PULL ALLa_ .RMITS (Septic, Well, etc.) MAKE :,--,rPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005292 <br /> DATE RECEIVED by EHD: August 09,2005 APPL#: PA-0500509 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Wed, August 31, 2005 <br /> Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 14400 E ST RT 88 HWY,LOCKEFORD APN : 01911026,20,& <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 /> N � f Purvey _ Name o System <br /> SUMMARY OR COMMENTS- <br /> A-2,1 ../ <br /> tea- Ou '��- <br /> �a c3 - X o� �c�/,�/i1 <br /> ._ <br /> I recommend: ApprovalEr Denial 11 Continuance Inspe o <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> r° <br /> VV <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> ProoOea 1port? '- Correct I:AN1J USE ? <br /> OA!I ChE+ck Off°List:: a,, .. <br /> Correct CONDIT16N S) <br /> ed in T;ANO USE I3660. <br /> EH 06 06 Report#7201 August 11,2005 <br />