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NOTE: PULL ALb�,,ERMITS (Septet, Well, etc.) MAK!-_faPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005246 <br /> DATE RECEIVED by EHD: July 25;2005 APPL#: PA-0500443 Pre-Application <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES �� PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Wed, August 10, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4637 S ESCALON BELLOTA RD,FARMINGTON APN : 18712004 <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 /> 4 Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> cis -� e -- -s <br /> : 6�-� - cryC c <br /> f recommend: Approval Denial Continuance I ector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> i <br /> V V <br /> Adz <br /> df <br /> t <br /> • <br /> F c- <br /> i <br /> POOLIi <br /> i 4 <br /> 1 <br />