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NOTE: PULL ALL 1-wRMITS (Septic, Well, etc.) MAKE bw#IES FOR FILE <br /> LAND USE REPORT RECORD 1D: S00006261 <br /> DATE RECEIVED by EHD: September 19,2006 APPL#: PA-0600482 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 3, 2006 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 27403 E HWY 4 , FARMINGTON APN : 18731007 12 <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: �JIR Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> -_ J, o3 c,. `., s}n.�.� r� ,ham i.�.J <br /> t 6'"ares+�.c�rr'orc.l sv f4tv-• c . <br /> /! � Q6 �;/ �"�../ �di•� � /avi/r.� fry ! t-1 L...�.-.o_- Cr7� ��y r..�:�s <br /> %t ,Gn f3G1' fp iriz�. <br /> 2,2 A3 JD'rtZ323. 4,A dka--Ld Z,J.rll t <br /> /I�o s71s' n y ti 9r tl .Qe� y r <br /> I recommend: Approval n Denial El Continuance Inspector: <br /> lc'' s <br /> 'Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> O r� <br /> o!o <br /> A (r d ✓>� to �Oi,do.ad,� �n>,D�ojfiLd/� .s�F.{r Q .r� CctS`f7l�mt-r- tete <br /> fJ/rov 4o e Lo-o[0. _dOT / arCC MG C <br /> (j ii :oZ drr�� ✓�cordayrw . of o c{/ M <br /> C, <br /> D <br /> E 1( . 04 <br /> SUPERVISOR/LEAD SENIOR Approval: <br /> Date: 9 '2s�- <br /> Correct LAND USE# - <br /> ged'iri LAND USE Book? <br /> EH 06 06 Report#7201 September 19,2006 <br />