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SU0013147
EnvironmentalHealth
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SU0013147
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Entry Properties
Last modified
7/9/2020 10:27:45 PM
Creation date
4/13/2020 1:12:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013147
PE
2663
FACILITY_NAME
PA-2000030
STREET_NUMBER
27445
Direction
N
STREET_NAME
NEW HOPE
STREET_TYPE
RD
City
THORNTON
Zip
95632-
APN
00121033
ENTERED_DATE
4/10/2020 12:00:00 AM
SITE_LOCATION
27445 N NEW HOPE RD
RECEIVED_DATE
4/9/2020 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013147 <br /> DATE RECEIVED by EHD: April 09,2020 APPL#: PA-2000030 <br /> Referral Agency STAFF CONTACT! STEPHANIE STOWERS PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE&SUBMIT BY: Thu, April 30, 2020 <br /> Assigned to: !!0000418 KITH <br /> SITE ADDRESS: 27445 N NEW HOPE RD,THORNTON APN : 00121033 <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: A"DIVE Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: H W0iL <br /> A/kYAZ <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z- <br /> 11 <br /> 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 16,2020 <br />
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