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LAND USE REPORT`. API,.i /,- �9- <br /> EHD RECEI\'ED APP.REFERPLAL: AlklQq COMPLETE & SUBMIT B1 'I <br /> DAT L I DAT <br /> ATTN: I ' <br /> SITE ADDRESS: , 3 Y (� C4 La E /� (yam^S <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 /> yJQly OL 1b,A aOnTIC, SVS+e4-r- <br /> 2 <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> n�xxxxx,�x*xxx,�xxxx:�xx,�nxxxKx++xxx+,�x**,�xxxxxx��xxxxxxxx*x**x,��xxx,�x*:�FxF:��xxx��x�xxxx,�*�,�x <br /> Supervisor/Lead Senior Comments: <br /> LAIVD USE CHECK OFF LIST: <br /> l'Did you proofread the report? — <br /> SUPERVISOR/L.EAD SENIOR APPROVAL: D14YOU USE THE CORRECT: — <br /> �L and Use#? <br /> Condition(s)#? <br /> 7Did you log it as completed? <br />