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1P � <br /> NOTE: PULL ALL PER ATS (SEPTIC, WELL, ETC...EKE COPIES FOR FILE 1 C <br /> LAND USE REPORT APP# P1.- (D.2— /q5 (szq)" <br /> EHD RECEIVED APP.REFERRAL: G'- -0 a COMPLETE & SUBMIT BY D <br /> DATE <br /> ] DATE <br /> ATTN: L n n `e <br /> SITE ADDRESS: <br />;I <br /> i. In completing the Land Use investigation, draw all Public Health factors on the exhibi (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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> �c�E�+cxdr�lr�e�teie�e�ek�'exxk�E�t-.�r�riexienF�kkdr�exle9rx9ctF�F�kjc9c�c�F�r�e9eeF�de�'cue*eF�ka�c-k$r�r�r�k�e�e�r3eie�ckx$c�e3c9c�r�c�r�F�'eaF�'r$r�9r$c�k�cdcicic$r*k�rx <br /> Supervisor/Lead Senior Comments: <br /> 3-r. <br /> .— a <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> DA IT GHECI►:QFF�TST E E# ; E Proofread report?, Correct 1 N0 USE#9 <br /> Edi 06 06 Rev 1I49 orre�t CQNZ <br /> �' E LaggQ�r r aNn usE Booxz . <br />