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{ <br /> = NOTE-. Lt,� <br /> PULL AERMITS (Septic, Well, etc.) MAK�.�PIES FOR FILE <br /> RECORD ID: SU0007498 <br /> LANA USE REPORT <br /> DATE RECEIVED by EIID: December 04,2008 APPL#: PA-0800358 <br /> 2690 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE: LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY. ARARB)�, — Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 27251 N THORNTON RD, THORNTON APN : 00113055 56 <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: 1.1 y Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> f <br /> I recommend• Approval Denial ContinuanceEl <br /> I cte <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> rt � <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> C _ <br /> ° rho o ` Ct A1I -USE# <br /> A.II. ti k Ds ' - <br /> ... f 'cODI TC4N(S)' . ... .. ?1ed� D�tc?_____�_— <br /> Eli 06 06 Report#7201 December 05,2008 <br />