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NOTE: PULL ALL PERMI--fS (SEPTIC, WELL, ETC... COPIES FOR FILE <br /> APP <br /> LAND USER EPORT <br /> S COMPLETE & SUBMIT BY <br /> EHD RECEIVED APP. <br /> REFERRAL, COMPLETE <br /> DATE <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: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> F D ( <br /> G/L� G�yiGe� <br /> r I <br /> I recommend: Approval <br /> Denial Continuance Inspector's Signatur <br /> Supervisor/Lead Senior,Comments- <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> 3 <br /> k <br /> OA II CHECK OFF LIST Proofread report `'`Correct LAND., <br /> USE#? �` <br /> =La ed in L"ND USE Boo, <br /> , F' Correct CONDITIDN(S)' k �8 <br /> EH 0606 Rev 1199 �' `� <br />