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C 1►3 ' y <br /> i <br /> L NOTE: PULL AuERMITS (Septic, Well, etc.) MAKpP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: ' J0005602 <br /> DATE RECEIVED by EHD: September 06,2005 APPL#: PA-0500563 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, September 14, 2005 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 7675 E LIBERTY RD,GALT APN: 00702007 <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 o f Purveyor _ N a of System <br /> SUMMARY OR COMMENTS: <br /> Y5 <br /> -777' C /F T'--5i'T' moi/ <br /> T` It <br /> G/-s firms .� �6'l l�L.rr, •�� �t'Yi.,i/rlo ��i. <br /> wa - of <br /> I recomm d: Approval Denial Continuance I pector <br /> Sign tore <br /> Supervisor/Lead Senior COMMENTS: <br /> r / <br /> v3 <br /> r� ) O 2 0 <br /> - /O2 v <br /> f /02 <br /> f <br /> SUl'EItVIS012/ LEAD SENIOR Approval Date: <br /> OA 11 Check Off List: Proofread Repo Correct LAND USE# <br /> Correct C.ONDITION(S)'? Logged in LAND USE Book*? <br /> EH 06 06 Report#7201 September 08,200" <br />