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SU0013456
EnvironmentalHealth
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SU0013456
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Last modified
1/10/2023 10:23:35 AM
Creation date
2/25/2021 11:49:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013456
PE
2625
FACILITY_NAME
PA-0900179
STREET_NUMBER
26590
Direction
N
STREET_NAME
SACRAMENTO
STREET_TYPE
BLVD
City
THORNTON
Zip
95686-
APN
00122032
ENTERED_DATE
6/30/2020 12:00:00 AM
SITE_LOCATION
26590 N SACRAMENTO BLVD
RECEIVED_DATE
9/19/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013456 <br /> DATE RECEIVED by EHD: June 29,2020 APPL#: PA-0900179 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Thu, July 16, 2020 <br /> Assigned to : EE0000418 KITH <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: �.��„��;, S . � ek" Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> LL' Z <br /> 15 <br /> I recommend: Approval Denial F-1 Continuance ❑ Inspector:apn-\ <br /> Signature <br /> Supervisor/Lead Senior COMMEN S: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [QA it Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 30,2020 <br />
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