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NOTE: PULL ALL PERMQS (SEPTIC, WELL, ETC...) M-t-KE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> -ry s <br /> EHD RECEIVED APP.REACA loll <br /> FERRAL: O �� COMPLETE & SUBMIT B i <br /> BAT } ATE <br /> By <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 /> Pte" <br /> Public water: G� f�✓c��G P lie sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approvals Denial Continuance Inspector's Signature <br /> vF$r je 9r�s*klc�c kaF ii 9c¢e�e�e�k�c 4c*fir 4e kir dr aF�F a'r�e xie�c!c 3e 9r ak de if vc 4e�e ie dt aF it it ie is ie is ac�9r 7r ie is 3c**�txaF dr�c�k i��'t Lexie�e�c iCx �c ak�c nF it�Fxx�F ac*$c 9r ee <br /> Supervisor/Lead Senior Comments: <br /> t� <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> 55 F <br /> OA;IX CHECK OFFLIST• :tFroofread report7uF >Correct LANDz[TSE#' <br /> �� Correct CE?tYDITION{S) Lagged in LAND ISE BOOKS <br /> EH 06 06 Rcv 1199 <br />