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NOTE: PULL ALL' RMITS (Septic, Well, etc.) MAKE uPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008094 <br /> DATE RECEIVED by EHD: February 03,2010 APPL#: PA-1000029 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE& SUBMIT BY: Tue, March 2, 2010 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 1146 E WOOODBRIDGE RD, WOODBRIDGE APN : 01312063 <br /> n completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> ;upplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> lensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> ;UMMARY OR COMMENTS: <br /> recommend: Approval 1-1 Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> ;unervisor/Lead Senior COMMENTS: <br /> F <br /> UPERVISOR/LEAD SENIOR Approv : —Date: <br /> Proofread a ort r'p #�? � �� ek^, " <br /> OA 11 Check Off-List:: ti P +` ri , <br /> 4�� ,$fid Jyii����4.Correct CONDITIO'ryy(/7�� Y �kF t q.3{{�"''•"-�Y � J� � i+� '���,P, ;�:,'���i. �µy.��1 <br /> >�t�.f4�� f+.'•Y'�'aM23(°%T., •.a .�1.: �.`..*1 �ib .�.�� } -n",. lt.rU�; <br /> 1-106 06 Report#7201 February 05,2010 <br />