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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004894 <br /> DATE RECEIVED by EHD: March 08,2005 APPL#: PA-04-706 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE: 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, March 22, 2005 <br /> . Assigned toβ€’ EE0005366 MEDINA <br /> SITE ADDRESS: 30003 N VAIL RD, THORNTON APN : 00109002 <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 ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> V VV <br /> ' d6 <br /> ` e <br /> u <br /> . a <br /> s <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 1!Check Off List: proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 March 09,2005 <br />