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NOTE: PULL ALL PERKS (SEPTIC, WELL, ETC...) PKE COPIES FOR FILE <br /> Ao <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: LI �. <br /> COMPLETE & SUBMIT BYAPR Dj�ES U 3 <br /> D E DAI <br /> ATTN: L2W'k-�L(f P� <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: f�� <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Si nat <br /> �rde�ea4e+e�'cieie>'e�Y�cx�rXx�Icx9rx�:kic9c�k9rvciedc:EvEkaEdc:E$c�E:F�Fdc�k�E�F�c�Fk$ek$c�eir�kdr�eek�ex�le$c�'c�irx�rx$cie��c�rx>e�r�exxx ��cx9e�e�c� xiexieieiF�' <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> DA'II Ci, CK OFA�C �T ProofreaaF report : Correct LAND USE,#?„ <br /> EH 06 06 Rev 09 ', GorFeet Gl)NDITION(SJ "xgg <br /> Lo ed in LAND U.SE BOOK?. , <br />