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i ,YQ TE:'PULL ALL PERM-7S (SEPTIC, WELL, ETC...) h KE COPIES FOR FILE <br /> LAND USE REPORT APP# -v <br /> IEIID RECEIVED APP.REFERRAL: <br /> �3--0� COMPLETE & SUBMIT BY 071��O� <br /> RAY <br /> o -7/5/02 <br /> VACATION <br /> DATE DATE <br /> ATTN: n n d jq y- <br /> SITE ADDRESS: /1� , 2Za�t a P�,' .S��r✓ <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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> �F�[�titat�cz�cisic:c:Ficiciaic3eie�F�c9rirxh�kdek�e�e�k�:�Y��r*x�F�r���e�[a'e$t�F9r�e�kdr�FdcoF�'e�F�k�e�'ede�dr$rxiexxx�rvciexekx�e*kvkiexxx3cicnFxdr�e4eiexx <br /> Supervisor/Lead Senior Comments: <br /> f � C <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> �: �t� <br /> 4A,3gIgI CHECK©FF IST.- <br /> � � Praofre d report? Correct LAND USE#9 <br /> IYr?' �" {�kx !� <br /> EH 06 06 Rev 1199 Correct GONDITION(S) f F Logged in LAND USE BDOK? <br />