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NOTE: PULL ALL-.-:RMITS (Septic, Well, etc.) MAKE ---vPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005084 <br /> DATE RECEIVED by EHD: June 03,2005 APPL#: PA-0500323 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2690 <br /> p LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: U5 r <br /> _ A S A R. Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 17510 N TRETHEWAY RD, LOCKEFORD APN : 05118018& 19 <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: r7Y't�f- , Public Sewer: ,,z, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance In pector• <br /> Si ature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#?- <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 08,2005 <br />