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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011414 <br /> DATE RECEIVED by EHD: July 06,2017 APPL#: PA-0600482 <br /> Referral Agency STAFF CONTACT JOHN FUNDERBURG PE : 2622 <br /> SUB IVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, July 18, 2077 in EX{MS(orl <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 27403 E HWY 4 , FARMINGTON APN : 18731020 <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 /> —n�1'YIB�4Z[a� <br /> i.7</.95 z ;b <br /> GL � <br /> I recommend: Approval Denial Continuance Inspector. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A Il h k Proofread Report? Correct LAND USE#? <br /> Correct COND[TION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 July 06,2017 <br />