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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009559 <br /> DATE RECEIVED by EHD: March 01,2013 APPL#: PA-0600203 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, March 18, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 26590 N SACRAMENTO BLVD,THORNTON APN: 00122032 <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 /> SUMMARY OR COMMENTS: <br /> I recommend: Approval El Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> -OA 11 Check Off List: Proofread Report?" Correct LAND YJSE 4? " <br /> Correct CONDI 170N(S)? Logged in LAND OSP;Hook? <br /> EH 06 06 Repon#7201 �4urch ua. ",1 <br />