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NOTE: PULL ALk ,cRMITS (Septic, Well, etc.) MAKE SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005123 <br /> DATE RECEIVED by EHD: June 24,2005 APPL#: PA-05-0500385 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, July 19, 2005 /� /) N6 <br /> _ ®ems� Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS:!13888 E L APN : 02102012 <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 /> NFpfPurveypr Name of System <br /> X c� <br /> SUMMARY OR COMMENTS: <br /> 7 <br /> CY) f G�IA�.Y .� ��/! ,�iio� ✓> l'.�-,� /i. .,�f- �3«� bio crw� � �!!�-c�/��s <br /> I recommend: Approva Denial F—] Continuance ❑ Inspec <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> . d <br /> �,te-QQ Baa--��elr� <br /> 03 a. <br /> SUPERVISOR/ LEAD SENIOR Approak Date: <br /> OA Il Check Off List: I'roorread Repoli, Correct LAND USE' ? <br /> C „ ....CC,l"MITI(rnI(S)'? Loe,�,ed in L.1A'D I ST; Book" <br /> SH 06 06 Report 97201 lune 27,2005 <br />