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NOTE: PULL ALLRMITS (Septic, Well, etc.) MAKE '+ IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006402 <br /> DATE RECEIVED by EHD: January 23,2007 APPL#: PA-0600114 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Tue, February 13, 2007 <br /> i Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 13045 W LAUFFER RD, THORNTON APN : 00103003 <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: f Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> l / <br /> d <br /> I recommend: Approval Denial Continuance F-1 Ins c � <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> 0;41 C ecM f Cytread Report? <br /> U E <br /> -- .. bet ._ . DT ; A Book <br /> EH 06 06 Report(#7201 January 23,2007 <br /> F <br />