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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD 1D: SU0008927 <br /> DATE RECEIVED by EHD: October 11,2011 APPL#: PA-0600203 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Tue, October 18, 2011 <br /> Assigned to : EE0005944 ESCOTTO <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 /> - <br /> C/�l�)1�/ !'lam/D/�tl' Cs--/-�/�'�ifL✓�}L �li4Li f7i� `�-�l'!/�-�! ii7�/��'��71 /N ir-i- hCl?�� <br /> 1 recommend: Approval F Denial Continuance F-1 Inspector. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ify-e.- <br /> SUPERVISOR/ LEAD SENIOR Approval: <—� Date: O 7S' Z' <br /> Proo CreadRe ort? ' <br /> OA 11 Check Off List: ... P. Correct LANG USE#'. <br /> Correct CON Di UON(S)? Logged in LAND USE Book? <br /> GH 06 06 Report#7201 <br /> October 11,2011 <br />