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�. NOTE: PULL ALL:P]kRMITS (Septic, Well, etc.) MAKE "PIES FOR FILE ' <br /> LAND USE REPORT RECORD ID: SVO005978 <br /> DATE RECEIVED by EHD: March 27,2006 APPL M PA-0600150 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: ASARB <br /> - Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS. 14774 N.STAR ST, LO DI APN : 05532038 <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 /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: z- <br /> I recommend: Approval Denial Continuance r <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR I LEAD SENIOR Approval: Date: <br /> _..,:.. -a'"°R"--R <br /> - � ro <br /> R ;NII v <br /> �ro ctrl <br /> EH 06 06 Report 47201 March 27,2006 <br />