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Y <br /> NOTE: PULL ALL PERM"M (SEPTIC, WELL, ETC...) Nv,,.KE COPIES FOR FILE Ji <br /> APP# 'L).&"'DSl U�� <br /> LAND USE REPORTl <br /> �l U COMPLETE & SUBMIT BY <br /> EHD RECEIVED APP.REFERRAL:DAT ATE <br /> ATTN: <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 /> 111(olo3oAn 5in&c , VM:A �oc�w� <br /> &n Ul L--M* WA exNV a k h C-0KP <br /> a� 4o as ("w ✓cul izbe �� trr p PS bI C k eLG? a r<� <br /> I recommend: Approval Denial Continuance Inspector's Signature C—IlMa-a <br /> Supervisor/Lead Senior Comments: <br /> :63 — u <br /> 3 <br /> 3. 0 <br /> a.. Gti <br /> d <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST: Proofread report. Correct LAND USE#? <br /> Correct CONDITIOA'(S)? _Lagged in LAND USE BOOK? <br /> EH 06 06 Rev 1/99 <br />