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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009642 <br /> DATE RECEIVED by ERD: May 23,2013 APPL#: PA-1300072 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 24929 E HWY 4 RD, FARMINGTON APN : 18705009 <br /> <n 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 /> SUMMARYORCOMMENTS: alag-ol Zd C-2J Cf tZL, 1/ <br /> ��� �i �1�n;✓s s��sic�t/r°r ���f.� s��«ss��� .9,�-��,.� � ✓.[.res� <br /> � �1�1 /1.e�cs �f€i�-cls Zj�r���tsc s.4./ i�c- l•�erT�i <br /> f3g2�a. fez C L-Fn//-k /49U� 8 5nC;P15e-5w, a�oustroe��s <br /> a� O7/ ifs Gl�rf£�Tco.�S <br /> I recommend: ApprovalEJ Denial Continuance Inspecto . - <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: // Z <br /> OA 11 Check Off List: Proofread Report?"" Correct LAND USE 4 ? <br /> Correct CONDLI ION(S)? Logged in LAND USE Hook'? <br /> 'S1106 06 Report 97201 -i," <br />