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_= NOTE: PULL ALRMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007785 <br /> DATE RECEIVED by EHD: June 22,2009 APPL#: PA-0600203 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE: 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Tue, July 7, 2009 <br /> Assigned to: EE0009649 ESTRADA <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 F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approv Date: <br /> p,4 fI Check a ff lst . <br /> ad:Report. Correct€,AND E#7 <br /> .. ¢ Corr k CONDI IO1S)? 3 ogged m LAID USE Book? <br /> EH 06 06 Report 47201 June 22,2009 <br />