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NOTE: PULL ALL4-AMITS (Septic, Well, etc.) MAKE bVOIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006928 <br /> DATE RECEIVED by ERD: January 25,2008 APPL#: PA-0200247 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2656 <br /> REVISIONS TO AC <br /> COMPLETE& SUBMIT BY: Tue, February 19, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 26485 N THORNTON RD, THORNTON APN : 00114040 <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: �iZ Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: % -� � , �'_ <br /> =164 <br /> I recommend: Approv Denial r7 Continuance Fj I e C <br /> _tgnature <br /> Sunervisor/Lead Senior COMMENTS: <br /> ERVISOR/ LEAD SENIOR Approval: _ Date: <br /> A II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDII'ION(S)?__ Logged in LAND USE Book'?— <br /> January <br /> ook' January 29,2008 <br />