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NATE: PULL ALL PERM-- ,S (SEPTIC, WELL, ETC...) 11 E COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EIID RECEIVED APP.REFERRAL: 1 -13-31 COMPLETE & SUBMIT BY <br /> DATE DATE <br /> ATTN: __ JJ '10i " <br /> SITE ADDRESS: 1V <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: _ fin& __ Public sewage: . <br /> SUMMARY OR COMMENTS: <br /> I recommend: ApprovalDenial Continuance Inspector's Signature <br /> Supervisor/Lead Se for Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> i <br /> OA IT CHECK OFFLIST _ `Proofread report? ; a Correct LAND USE#? <br /> Correct CONDITION{S)P Lagged in LAND USE BOOK? <br /> EH 06 06 Rev 1199 , x ,rs <br /> ?. r <br />