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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500010530 <br /> DATE RECEIVED by EHD: June 26,2015 APPL#: PA-1500021 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Tue, July 21, 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 /> I recommend: Approval Denial ❑ Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> pH <br /> SUPERVISOR/LEAD SENIOR Approval: % Date: <br /> A Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 29,2015 <br />