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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011527 <br /> DATE RECEIVED by EHD: October 06,2017 APPL#: PA-0600171 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Sat, November 4, 2017 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 4469 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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: ���✓J <br /> ` 2 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A11 h k ff Li : Proofread Report? SE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 09,2017 <br />