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'hfS (SEPTIC, WELL, ETC...} M EKE COPIES FOR FILE <br /> NOTE: PULL ALL PERM <br /> LAND USE REPORT APP# PZATa <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY <br /> DA E <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: iter — Public sewage: /LPA <br /> SUMMARY OR COMMENTS: <br /> 01 ./ <br /> // <br /> I recommend: Approval L-1/1-Denial Continuance Inspector's Signature <br /> **iso'sde�exic!cF9eF4c!e$r�eJe*de*�e*a@�r*9ckknFk*xx*vk�r�e*Feie**eie**irdeie$c**�F*�tJe$e*�e:Fx�c*iraF'e�rxxdck9e ie 3c it�rvk*it*k*iedt�eJr*ir <br /> Supervisor/Lead Senior Comments: <br /> 00, <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA II CCECK OFF Lift"', <br /> '� 'EPronfseadreport?'� '-_ CorrectLAN�3 USE#? <br /> dn <br /> LAND USE BO ?�� gSee1TION(S)vC <br /> correct ,. . <br /> OND <br /> EH 06 06 Roo 1199 <br /> .; <br />