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NOTE: PULL ALL PERNAY"S (SEPTIC, WELL, ETC...) M�._XE COPIES FOR FILE <br /> LAND.USSRfPOR <br /> .r T APP# <br /> EHD RECEIVED APP.REFERRAL: I 6 0 COMPLETE & SUBMIT BY / o <br /> DAT DATE <br /> ATTN: c <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public H alth 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 /> 00 Z ;D� <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> . • d fo <br /> 1i rpe <br /> 41 <br /> c <br /> AO <br /> 06r <br /> r <br /> ',p3 <br /> a� <br /> SUPERVISOR/LEAD SENIOR APPROVAL: —rik6 <br /> �Q.4,ITCH <br /> ECK OFFLIST: >,'Pr`aofread repnrt� ''3 z Cgrrect LAND USE#9 <br /> Correct CQNDITION(S) Lagged rn"L&6 USE, T <br /> rid 06 06 Rev 1199 <br />