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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010445 <br /> DATE RECEIVED by EHD: April 06,2015 APPL#: PA-1500021 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, April 15, 2015 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 26200 N NOWELL RD, THORNTON APN : 00123003 05 10 20 21 ✓ <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 /> /f, L[��lr�Z ✓�C�ci_r�:al� fz< f�lk�1� Z,;, <br /> �.Z,'�iL�i-�] �= �71rr��•7.5;�1x��3�y ,�,L 7��s��.,.fL �"��:b�s�� �/l�G f3c� #4 <br /> I recommend: Apr vo al Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0-k 141% <br /> f , <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 44k Off List: <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 06,2015 <br />