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NOTE: PULL ALL PERMIT (SEPTIC, WELL, ETC...)ivr��KE COPIES FO FILE <br /> I <br /> LAND USE REPORT APP# `^ __.._.. <br /> EHD RECEIVED APP.REFERRAL: QNA6 COMPLETE & SUBMIT BY <br /> DATE DATE <br /> ATTN: <br /> SITE ADDRESS: 117 J-0 aArd <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(Le.: sewa a 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 /> �'e9evk�e�rde�c3c�'ckaE�k�Edc�t�29r�9c�9e�e�rde3e4c*�c�k�E�k�atr*�'s9c�Fa��FxiricFcdc�Y9cic�cicvkkic�Edcdsdc��t�tit�c9c4cdrJraFicic9ciroFkisdc$t$cxxaFJc�c�iic�cicdcvcoFie <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> QA II CHEGIC QFF LIST £Praofreard report?` �Gvrrect LAND <br /> Coe - LoLAND USE BQOIC� <br /> EH 06 06 Rev 1199 rrct CONDITION(S) <br /> 7. <br />