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1 <br /> NOTE: PULL ALL PERML-i'S SEPTIC WELL ETC....) <br /> ( , MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: 1?—V U COMPLETE & SUBMIT BYS�`} <br /> DATE v p DATE <br /> ATTN. L1 <br /> SITE ADDRESS: I( e� I L� _,i. <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: d Public sewage: 1VQ <br /> SUMMARY OR COMMENTS: <br /> � I n b3 <br /> I recommend: Approval Denial Continuance Inspector's Signa°'filu <br /> Supervisor/Lead Senior Comments: <br /> 16-04� <br /> Z� <br /> 0- <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> oAl" 7 CHEer L Till o Oi4d reP ort?MINY0 ' r <br /> Carred LAND <br /> Ex 06 06 Rev 1/99 a a`�� Ca reet CONDI7�CDiV S}7 Logged rr: 'LAND USE E�OK �` <br /> ;:.aNP "..'E .s€.sem. aat3Rf'.t ^^ <br />