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NOTE: PULL ALL PER S (SEPTIC, WELL, ETC...) "EKE COPIES FOR FILE <br /> LAND USE REPORT APP#_ /�fQ <br /> EHD RECEIVED APP.REFERRAL: 'U COMPLETE & SUBMIT BY 5 --9- 0�2 <br /> DATE DATE <br /> ATTN: 0 t <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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> 9tfF$c�dc�cfta4ieitdeic�rkeF�ek4t9e9t4e4t�cicdc�E�c$ck�k3c�c�k�r�e�4$�cdeiedeie�c$ak�e�ek�r9e71tac9c$c-Jc$ric�c�idr4edrx$ekaFxx3exxxxxxxxxxxxxxxxi�a�4cF4c <br /> Supervisor/Lead Se igr Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> DA II CHECK OFF LUT.", T, ad Correct LAND USE#9 <br /> �.: <br /> EUI 06 06 Rev 1199Cosrect C'ONDITIQII�(S}? 'Lagged in LAND USE BOOKS <br />