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. NOTE: PULL ALL PERI XS (SEPTIC, WELL, ETC...) 13KE COPIES FOR FILE <br /> LAPD USE REPORT APP# PA LL(D a-���CS14 <br /> EHD RECEIVED APP.REFERRAL: 1 I r COMPLETE & SUBMIT BY 5 - 9-0Z <br /> DATE DATE <br /> ATTN: <br /> SITE ADDRESS: taQ50 �5� r <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: ! CW (p 3 ar -711 <br /> D f ek Vnck �,h0} JX w�11/S2 A-- rrv�I <br /> G <br /> C f� <br /> A ' <br /> r <br /> '16 I recommend: Approval Denial Continuance Inspector's Signature - <br /> drafr�e9r�kicvfckic�c�kxdeacds�t�t�e9e�eJe�ek�F�keeic�FiciraF�'cdcdsat$t>exp'e*�k�eieiticiciriciricdr�FkaE�c*aE�kdc4e�c9t��c�e�e�edrie�c �c*icieic34"°hc�'t4t�'t�c$e�'eirieir9c it <br /> Supervisor/Lead Senior Comments: <br /> �r <br /> V � 4 <br /> t <br /> �.r <br /> SUP:ERVISOR/LEpA�D(�SENIORAPPROVAL: <br /> ` 61Ort TI CHECK OFF LIST: 'Praafread reports Gnrrect L 9ND uSE#9 , <br /> 104106 Re 1/9 `�; < �t, Correct C <br /> ONDITTUN(S}� '}� ' Lagged rn LAND USL B©OKE <br />