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NOTE: PULL AL-LRMITS (Septic, well, etc.) MAKEPIESFORFILE <br /> LAND USE REPORT RECORD ID: SU,0005949 <br /> DATE RECEIVED by EHD: March 07,2006 APPL#: PA-0600114 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, March 21, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 13045 W LAUFFER RD, THORNTON APN : 00103003 <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:-3�S <br /> l r <br /> �� C37 - "'��/,� �°'z°"� ..._�•;•_7--��'-�a�t^,� i ��t�r��i c-./moi, c��,r-/ <br /> ZIF <br /> I recommend. Approval ' Denial Continuance Ins <br /> Supervisor/Lead Senior COMMENTS: <br /> CA <br /> — se A!14 6;yq��d <br /> r 1 <br /> ea <br /> pip <br /> Ir i rf. -' w WI <br /> G 2 D 4 <br /> z o 5 h0 paru� <br /> C �u'� w � .Mv � 1 �b �, 2 1, 2 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ��� <br /> 1 Obl!Check Of 'tl7e �R rl�- *------ '` ti. �. re y <br /> PQ a c US <br /> . sv' .. «v. 0'+..' ,- •(... 'Y�� e.� b_ S�f.P".'tA^LA <br /> p ? <br /> T <br /> Elf 06 06 Report#7201 March 07,2006 <br />