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P--�/Mf+ : <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) NrAKE COPIES`FOR FILE <br /> LAND USE REPORT APP <br /> EHD RECEIVED APP.REFERRAL: 6 7103 COMPLETE & SUBMIT BY % a <br /> DAIE <br /> � D £ <br /> ATTN: <br /> SITE ADDRESS: G� G�ice, <br /> In completing the Land Use investigation, draw all Public Health factors on t=it (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 JJOR COMMENTS: <br /> G�/4 <br /> I'recommend: Approval Denial Continuance Inspector's Signature ,Orl& <br /> *�,k**k*****ic***k*kk*k**aF" *�e'r*9c do�t*fie****9c F is**arc 9e*it*kx**$eek*kit k*fir***k:�e�e*F*7�r*x***�txnFx***c is is it is*fir*4r is <br /> Supervisor/Lead Senior Comments: <br /> i ( t !/ <br /> r <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> Prav read re ort 'Correct LXVL USE#.? <br /> OA IT CHECK 4FF LIST f P <br /> _ Correct CONDITIONS)-" Logged rn LAND N.� <br /> USE BOOK7 � <br /> EH 06 06 Rev 1199 <br />