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RB <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-59 (SA) <br /> EHD RECEIVED APP.REFERRAL: 2/20/04 COMPLETE & SUBMIT BY: 3-02-04 <br /> DATE DATE <br /> ATTN: JOHN FUNDERBURG <br /> SITE ADDRESS: 26976 NORTH THORNTON ROAD, THORNTON <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx*xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/L.EAD SENIOR APPROVAL: <br /> r <br /> EH o6 06 Rev 1/99 OA II CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> Correet CONDITION(S)? Logged in LAND USE BOOK? <br />