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1 <br /> LM <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE + <br /> LAND USE REPORT APP#_PA-03-543 (MS) <br /> EHD RECEIVED APP.REFERRAL: 3/04/04 COMPLETE & SUBMIT BY: 3-16-04 <br /> DATE DATE <br /> ATTN: <br /> -LEANNE MUELLER <br /> SITE ADDRESS: 14454 NORTH STATE ROUTE 88 HIGHWAY LODI <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 a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: _ `�� Public sewage: <br /> SUMMARY OR COMMENTS: <br /> 0� <br /> baa.•o <br /> 76 <br /> I recommend: Approval D n at Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> E `fes <br /> . v <br /> . � 3 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> CJA!I ClG1 fOF1 L7 '7'�€"� 'ravfread repni2 . Ct�rtee- ' <br /> EH 06 06 Rev 1199 <br /> r <br />