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NOTE: PULL ALL MITE (Septic, Well, etc.) FrilAKEPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006711 <br /> DATE RECEIVED by EHD: September 04,2007 APPL##: PA-0700397 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: ' <br /> . <br /> S P.- � Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 19710 N TULLY RD, LOCKEFORD APN : 01905035 36 <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: .�( JPublic Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> O <br /> I recommend: Approval Denial F-1 Continuance Inspector: <br /> S gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: 2 <br /> © 6 <br /> OA 11.Clieck Off'Lists <br /> # <br /> Psoafe ;Report?. airec LAND USE V41 . <br /> Cocreet GO ITION S ? La ed�In LAND USE BORD <br /> ( ) • � g ,. <br /> Eli 06 06 Report 47201 September 06,2007 <br />