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NOTE: PULL AL 'ERMITS (Septic, Well, etc.) MAK .OPIES FOR FILE <br /> LAND USE REPORT RECO 1D: SU0007881 <br /> DATE RECEIVED by EHD: August 24,2009 ADPL#: PA-0900187 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE& SUBMIT BY: Wed, September 9, 2009 <br /> Assigned to: EE0004045 3A5IOPOUL05 <br /> SITE ADDRESS: 2828 S ESCALON BELLOTA RD, FARMINGTON APN : 18718009 <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 P rveyor Name of System <br /> SUMMARY OR COMMENTS: 2 �. <br /> I recommend: Approval Denial Continuance Inspe :_. ''�"— <br /> r �' shirt. e <br /> Snpervisor/Lead Senior COMMENTS: / U <br /> u <br /> SUPERVISOR/LEAD SENIOR Approval: C. Date: <br /> OA!1 Chick OIf Ltst� P 06ii ad Report? Correet LAND USE# <br /> Correia CONDITIONS) ? I egged in LAN13 USE Book?- <br /> _ ..-1e . . <br /> EH 06 06 Report 47201 August 25,2009 <br />