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i <br /> ""sic, NOTE; PULL ALL' ;tMITS (Septic, Well, etc.) MAKE i,,_o- IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005945 <br /> DATE RECEIVED by EHD: March 07,2006 APPL#: PA-0600097 <br /> Referral Agency STAFF CONTACT: JOHN FUNDER 3URG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: rvt 'r <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 20899 E HWY 12 , CLEMENT , APN : 02303007 08 <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 leap 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:06 <br /> I recommend: Approvdfo Denial F-1 Continuance <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: U <br /> OITO s Q1 I OI`I(S <br /> EH 06 06 Report#7201 March 07,2006 <br />