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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009633 + ,SuO 00 ('(°3 r <br /> DATE RECE'VED by EHD: May 09,2013 APPL#: PA-1300027 -+ 19A- 130001o(,y <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: �„ ,�� '1 2 <br /> — � Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 2700 S ESCALON BELLOTA RD, FARNUNGTON APN : 18718010 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: eCCL6- <br /> ' TsL3/�2E�I9lSYIS�/SFS'-ZEJT-3Y/fG4ti{'lL.�� E.-74"r�.�xt,A✓f7GCoE�[-� Zll/Lz.5l7c��s+/StslSl�/—cs4B-�/ <br /> tel- /��il«r zt_.2FC./�hv, (/7os-Ziv r4Cf�v1s) - , <br /> iC.�i LLf3!_; G'L- L1l' l.5Sca3 Cf- Cls�'c7tr✓!c�-'YE.t1TlG� <br /> l recommend: Approval Denial ❑ Continuance ❑ Inspecto . <br /> Signature <br /> Suuervisor/Lead Senior COMMENTS: <br /> �Q.cPoe�n/t�da�zev� <br /> 2- Q � e-"AeL C$Lj <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 6 / <br /> KwFxT P! , <br /> -H 06 06 Report#7201 May 10,201 <br />