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:s NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE C 'PIES FOR FILE <br /> LAND U$E REPORT RECORD ID: SU0005195 <br /> DATE RECEIVED by EHD: July 12,2005 APPL#: PA-0500418 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 27403 E ST RT 4 ,FARMINGTON APN : 18731007 <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 /> • C'L�S �Es�2 Gc�C� UG( C�Gc%SlS � �Cr 5 �h� <br /> • ,d � �-�'z� _ cep �u � <br /> I recommend: Approval Denial Continuance 0 Inspector: <br /> ��iga,t,re <br /> Supervisor/Lead Senior COMMENTS: <br /> M <br /> SUPERVISOR/LEAD SENIOR Approval- <br /> c Date: 13 0C <br /> a <br /> F-H 06 06 Report 97201 f July 12,2005 <br />