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NOTE: PULL ALL MITS {Septic, Well, etc.) MAKE + IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006684 <br /> DATE RECEIVED by EHD: August 13,2007 APPL#: PA-0600171 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE & SUBMIT BY: Tue, September 4, 2007 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 4391 S ESCALON BELLOTA RD, FARMINGTON APN : 18713010 06 <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: ?p o <br /> !�v!L�i. �:.�..„4 - 11.GLt.�E Gyi!` 1 :.... . R-..-, / !t-�'✓�'`�'rr'L. <br /> �. � r. �. r'. t�- -y. ra t. +tn1!/r."r7�-.��1► �'1/iC. C.td{ G�+.g-�Lx f/)C�77�� <br /> -Iv_Y�_Q t <br /> �) v <br /> T ' ..� 7. !' �!/. ,� ;� ! }�/1 /✓5'1- <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 610-7 <br /> OA`li Check Off List. Pes o&eat Itepbrt? .. :' Correct' At iP U$E#=7 <br /> Carred CQIaTDITI©NO)'? ' Logged-in LAND TE:Book7 <br /> Eli 06 06 Report#72D1 August 14,2007 <br /> ti�. <br />