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LAND USE REPORT � APP# (t . <br /> EHD RECEI\'EU APP.REFERRAL: <br /> p <br /> /—q /(7 COMPLETE & SUBMIT BY <br /> DATE DATE <br /> < ATTN• T/yy &4/ILZ44- -/ <br /> SITE ADDRESS: ]IGLOO /lI <br /> In completing the l .and Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal. <br /> water s: gni }. Where necessary, on an attached piece of plain paper, draw completed map of area <br /> show: Ly, location of house, wind direction, etc.... <br /> Public water: �� Public sewage: <br /> SUMMARY OR COMMENTS: <br /> /aL yG•'� <br /> -r) SG <br /> 2 2' <br /> �c <br /> d = <br /> �� $ x a t b� Z& !5 <br /> T <br /> -40 -P <br /> i z_ - - <br /> I recommend: Approval Denial Continuance Inspector's Signature/ <br /> *�Yx*�:xxxx�xxxxxxxxxxx**xxx**�xxx*xxx***�x*x*xxx*xxx: x*x�*xxx+*��x+�xxxxnxr+;xxxx*xx�,�**�Q�,/ <br /> Supervisor/Lead Senior Comments: �d <br /> LAND USE CHECK OFF LIST: _ <br /> _✓Did you proofread the report? <br /> DID YOU USE THE CORRECT: _ <br /> Land Use#? <br /> SUPERVISOR/LEAD SENIOR APPROVAL: __L�ondition(s)#? <br /> Did you log it as completed? <br />