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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 0l,2013 APPL#: PA-0600203 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, March 19, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 26590 N SACRAMENTO BLVD,THORNTON APN: 00122032 <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 /> 1 recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> z�OPFRVISOR!LEAD SENIOR Approval: Date: <br /> OA II Check Off List Proofread Report? Correct LAND USE k? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 'H O(,O6 Rcpun-'_n. tilar,h or, 7,. <br />