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(SEPTIC, WELL, ETC...) NT7<KE COPIES FOR FILE <br /> NOTE: PULL ALL PERMITS <br /> APP# - 0 _s� <br /> LAND USE REPORT J <br /> p-1 6-b0 COMPLETE & SUBMIT BY I —HATE —� <br /> EMD RECEIVED APP.REFERRAL: DATE <br /> ATTN: <br /> SITE ADDRESS: °� 5 <br /> In completng ei Land Whe e necinvestessary, on an attached piece on, draw,all public lof plain paper, draw oth factors on the e lmpleted map ofla area <br /> al, <br /> watersupplies, <br /> showing population density, location of house, wind direction, etc.... <br /> Public sewage: <br /> Public water: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> Y C, W fi <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> EM 06 06 Rev 1/99 Correct CONDITION(S)? _Logged in LAND USE BOOK? <br />