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) MAKES PIES FOR FILE <br /> NOTE: PULL ALIT.,, .iRMITS (Septic, Well, etcS <br /> ' RECORD ID: SU0005958 <br /> LAND USE REPORT APDL#: PA-0600128 <br /> DATE RECEIVED by ERD: March 14,2006 PE ; 2690 <br /> Referral Agency STAFF CONTACT:'KEVIN SWANSON LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: _ <br /> Assigned to : EE0005366 MEDINA <br /> APN : 05516022 43 <br /> SITE ADDRESS: 5184 W HWY 1 <br /> Q. P <br /> completing the Land Use investigation, draw all Public Health factors on th <br /> it(i.e., sewage disposal, water <br /> In complete map of area showing population <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, raw <br /> RE: PA-0600128_(LA)._Silnrin5959—Aop..*,..,• <br /> Name of Purveyor <br /> SUMMARY OR COMMENTS: /��Q� <br /> go <br /> NOTE: Two sewage disposals leachfields are not demonstrated on the site-map that was <br /> -submitted. Permit#93-0685 demonstrates that a repair was installed for the <br /> I recommend: residence on 4123193.Permit#75-361 demonstrates that a septic system for the upervisor�Lead SeliSupervisorlLead Sei map was installed on 5129175. Submit a revised mthat demonstrates these <br /> existing septic systems prior to approval of the lot line application. — <br /> � w <br /> 4 <br /> 13 <br /> Date: Ime <br /> SUPERVISOR/LEAD SENIOR Approval <br /> 'll 11 <br /> `" sr ��2 � `s L6jfCtFuEE# � ' 'N 1 <br /> �`�1 heck Offi LestPr�oiread� t2 <br /> r '. <br /> _ Y <br /> .. <br /> 5 <br /> March 14,2006 <br /> EH 06 06 Report#7201 <br />