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NOTE: PULL ALL PERM S (SEPTIC, WELL, ETC...) I KE COPIES FOR FILE <br /> LAND USE REPORT APP# SC) -00 - / 1 <br /> r <br /> EHD RECEIVED APP.REFERRAL: 9 "�b �— COMPLETE & SUBMIT B0 <br /> Y j 3 � <br /> DATE DATE <br /> ATTN: r � <br /> TE ADDRESS: / Ic3� <br /> SI 1 7 <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 iaf house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> 9c kjc ie dr xc ds c de ie:F oc aE kir i':it tF�F�e F 9:9e$rx*:k ek eF$$e$4c a4�F��*is c it�e�t 4t�t�k�'r�3e*$ex�r�c 9e�exx kx'ex�exde xic�r is�e is nF vF do ds�e�t�exxir ie�exx$cxir is <br /> Supervisor/Lead Senior Comments: <br /> Li <br /> (01 <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST Proofread report Correct LAND USE#9 <br /> EH 06 a6 Rei v99 COrreet C4NDITION(S)? Logged in LAND USE BOOK?;� <br />