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NOTE: PULL ALL PERMITS (Septic, Well, etc.) 11TAAE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006189 <br /> DATE RECEIVED by EHD: August Ii,2006 APDL#: PA-0600408 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: A <br /> A.P=E3XAssigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 13422 E HAMMOND ST, LOCKEFORD APN : 0190203557 <br /> In completing the Land Use investigation, draw all Public Health factors oii the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, drav- complete snap of area shmving population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor N�11e of System <br /> SUMMARY OR COMMENTS: ��� <br /> I: <br /> 41 <br /> i <br />' I recommend: Approval fTDenial El ContinuanceEl <br /> I�ryl ector �� <br /> ��s�rture <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> i <br /> I <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: <br />� ��hekOff:Ls � ��-' Proofreads an.4 '.'f <br /> 1 CorrecI�yp +, �ggel�inPr1N U5 :13uu _.— e <br /> s <br /> t F-H 06 06 Report#7201 August 14,2006 <br /> h <br />