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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009559 <br /> DATE RECEIVED by EHD: March 01,2013 APPL#: PA-0600203 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, March 19, 2013 <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 /> 041 - AJ Ae'P"c4g, —9- t <(1?-,(*7-.9cK'U)v -i-l� EI1z�01i./ Y/c4T���t Via! FrYty gaz-L�� <br /> e..4g;-,Iz� �4Ft3= �� 4`lZS i5 c�t� <br /> 2!rte <br /> [ recommend: Approval Denial El Continuance ❑ Inspector _ <br /> Signature <br /> Supervisor/Lead Se i r COMMENTS:. <br /> �5- A <br /> SUPERVISOR/LEAD SENIOR Approval: Date: p <br /> OA 11 Check Off List: Proofread Report? Correct LAND USB#? '� ffl HE!, <br /> Correct CONDITION(S)? - Logged in LAND.USE Book? <br /> EB 06 06 Report#7201 %lurch on. ' _ <br />