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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011305 <br /> DATE RECEIVED by EHD: March 31,2017 APPL#: PA-1700065 <br /> Referral Agency STAFF CONTACT. CORINNE KING PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Tue, April 18, 2017 Relvloc orl <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 /> C�J�Yl9,9lIJNd'7e'O S = <br /> �� �� !ice o� � .t» cF�✓�iZr�S � i/ilAxr ck,�Zv,�s �[�/dZc� <br /> I recommend: Approval [a Denial D Continuance Inspecto <br /> Signature <br /> Su pervisor/Lead Senior C,OnnMMENTS, <br /> SUPERVISOR/ LEAD SENIORApproval: Date: <br /> OA 11 h k ff List: Proofread Report? Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 04,2017 <br />