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NOTE: PULL ALL `ERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID; SU0008328 <br /> DATE RECEIVED by EHD: June 24,2010 APDL#: PA-0600203 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2656 <br /> COMPLETE&SUBMIT BY: Tue, July 20, 2070 REVISIONS TO ACTIONS (RA) <br /> Assigned to : EE0005366 MEDINA <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: _ Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval` Denial Continuance Inspe r: <br /> Supervisor/Lead Senior COMMENTS: <br /> S' nature <br /> CZ7, -a <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: �6 <br /> SOA i!taheckOff L►st ' � Prgviread ltepoYt? '' hie Correct I ANI7E# ;s. : ';; <br /> CorLectCONT?ITIE�N 8 7 j,, <br /> EH 06 06 Report 47201 <br /> June 29,2010 <br />