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NOTE: PULL AL"RMITS (Septic, Well, etc.) MAKE�jP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004648 <br /> DATE RECEIVED by EHD: September 28,2004 APPL#: PA-04-294 <br /> Referral Agency STAFF CONTACT: RAYMOND BOO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 19, 2004 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 13422 E HAMMOND ST,LOCKEFORD APN : 01902035 <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 ouse,wind direction, etc.... <br /> Public Water: -o I Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> //(j <br /> I recommend: Approval Denial Continuance In ector: 1 <br /> Signa re <br /> Supervisor/Lead Senior COMMENTS: <br /> 14 <br /> O ,Af <br /> SUPERVISOR / LEAD SENIOR Approval: Date: <br /> OA 11 Check OH List: Proofread Report? -.... Correct LAND USE#? <br /> Correct CONDITION(S)? - Logged in LAND USE Book? " ' <br /> EH 06 06 Report#7201 Pace i September 30,2004 <br />