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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...} MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: J -6 COMPLETE & SUBMIT BY <br /> DATE DATE <br /> -'ATTN: . <br /> SITE ADDRESS: <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: k �P7r Public sewage: Sys <br /> SUMMARY OR C MMENTS: <br /> '0 <br /> 5' <br /> 61 C-" <br /> k .. <br /> I recommend: Approval Denial Continuance Inspector's Signaturel�e2- <br /> Supervisor/Lead Senior Comments: <br /> 1 ]L -- <br /> • l <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> QA II CHECK 0 F LIST Proofread ieport?� Correct L.�l ND FTSE 4?�� <br /> 4Correct CQIVDITION(S) Logged rn lAND U5E�OaK? <br /> EH 06 06 Rev 1199 + <br />