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NOTE: PULL ALLk.-YcRNl1TS (Septic, Well, etc.) MAKE---.,PIES FOR FILE <br /> LAND .USE REPORT RECORD ID: SU0005652 <br /> I DATE RECEIVED by EHD: September 27,2005 APPL#: PA-0500610 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2690 <br /> SA. LOT LINE AD3USTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> Assigned to : EE0005366 MEDINA <br /> SIVE ADDRESS: 3050 W PELTIE , OD APN : 01302059 <br /> ` In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> F 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: e:�2� Public Sewer: <br /> Name,of P Name of Sys <br /> /oj���� /T�� 4� •Y� mac- i lr` P9 <br /> SUMMARY OR COMMENTS: <br /> € <br /> t o?�• �I �y� � � /.��,1/ /ck—ctrl � �.-- �S.Gi--c�.x�-� <br /> t <br /> I recommend: Approval <br /> Denial Continuance <br /> fnspecto ' <br /> Supervisor/Lead Senior COMMENTS: <br /> ' —•� ,� 76 <br /> I <br /> yj AIV <br /> € <br /> �I <br /> i <br /> .i <br /> r SUPERVISOR/LEAD SENIOR Approval: Date: /f <br /> ,arm€ _ °r� 9:r�sr::� t <br /> 4A 11 Check Off Lrsf• ProO r ad lae � EE �Cgrfeci f Al D S }.;� m . ."1 i � t <br /> s„^ S w y y �I, P=Fid` `} <br /> � � CorrectC© DITLC,N '�4 �� �, �_ ed mL�4f �i1.S�EB ' <br /> : ? ,. g e Pao, - , _ a <br /> R.. <br /> t <br /> 001 <br /> Eli 06 06 Report#7201 September 28,2005 <br /> 1 i <br />