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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009107 <br /> DATE RECEIVED by EHD: March 16,2012 APPL#: PA-0600203 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Tue, April 3, 2012 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 26590 N SACRAMENTO BLVD,THORNTON APN : 00122032 <br /> [n 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 /> f� �1�L� cn�nl7ca� cr��2u/itZ`„�l��G��--���i��.,r-yrs s�-��<.✓�s,�o�i�� <br /> !a. <br /> I recommend: Approval12 DenialContinuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> IS r2 0140f L�;A <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Rcpoi V? Correct LAND USE.N ? <br /> Correct CONDITION(S)7 Logged in LAND USE Book? <br /> EH 06 06 Report H7201 <br />