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NOTE: PULL ALL PERMS (SEPTIC, WELL, ETC...) NVP-`�KE COPIES FOR FI E <br /> h � <br /> LAND USE REPORT APP# P <br /> J RAY ON VACATION <br /> EHD RECEIVED APP.REFERRAL: �l �� COMPLETE & SUBMIT BY f a� b 7/1/02-'715/02 <br /> DATE <br /> ATTN: c11,0 .ldie C Atri-171"I <br /> SITE ADDRESS: e- <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: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> A <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> �'e*�Fiexiexi��e*ir3c�c**�c*�c�4$t�r�e�e*eFde�r�cic***�cK�'rx*�katiie*k**dr�E9e*9t�e***3ex*:rbc:k�'esFieieir**3ct't�r�cJevk�czr **�'t$t3r�eiric is it** <br /> Supervisor/Lead Senior Comments: <br /> A-, <br /> oroS <br /> o <br /> yy OL <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> �°S S2'6 $"H « � f� <br /> dA 1I CIIECJC OF LIST Proofread report _ Garrett LAND USE# <br /> �� "� Correc!Cf)NDIT14N(S)7 ' Logged to LAND USE B04R7 <br /> EH 06 06 Rev 1199 } <br />