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/Z <br /> NOTE; PULL ALLkk-RMITS (Septic, Well, etc.) MAKE'%.�PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU000632$ _ <br /> M DATE RECEIVED by EHD: November 20,2006 APPL#: PA-0600516 ,DA-000517� <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2687 /rz&dvS�• <br /> GP AMENDMENT<5 acres(GP) <br /> COMPLETE& SUBMIT BY: Wed, November 29, 2006 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 4391 S ESCALON BELLOTA RD, FARMINGTON APN: 18713010 <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: N�� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> r- <br /> J f <br /> I recommend: Approva�M Denial ❑ Continuance F—] Inspector: <br /> f Signature <br /> Su eMsor/Lead Senior COMMENTS: <br /> O <br /> I <br /> i <br /> b fa t, s <br /> W <br /> vtz Nov to TH Z- <br /> � <br /> •r <br /> SUPER17ISOR/LEAD SENIOR Approval: r Date: 2 <br /> ;.«.✓:4,.ns ..y.;, ."...".;.x ..:..... ..:.. f.... ..-a. .. ,: :r-,T W.t. ��_ `;fYdnf3i'e,8_rd�n&:4 #k�h?'A Gozrb g <br /> F <br /> EH 06 06 Report 97201 November 20,2006 <br />