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M <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) 1VD&E COPIES FOR FILE <br /> APP# <br /> LAND USE REPORT A - �� <br /> -S6L I'� <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY <br /> DATE <br /> DAT <br /> ATTN: <br /> SITE ADDRESS: Aa C� <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit i.e.: sewage disposal, <br /> f 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 /> 16 <br /> ad vs �c� �" s' <br /> C= dS � <br /> a� <br /> I recommend: Approval Denial Continuance Inspector's fign <br /> Supervisor/Lead Senior Comments: <br /> -7 � E . <br /> IN 11011, 1 <br /> 1 4 ( 1 VTo <br /> 0 <br /> 72"- <br /> SUPERVISOR/LEAD SENIOR APPRf <br /> 0 <br /> ?OA IT <br /> ECK QFF LISA €, ; Proofread repnrt <br /> Correct.LA}VD <br /> Correct CONDIed in LftND USEBUOI? <br /> Ell 06 06 Rcv 1199 <br />