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ME <br /> NOTE: PULL ALL PERNk S (SEPTIC, WELL, ETC...) N.KE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-69 (MS) <br /> EID)RECEIVED APP.REFERRAL: 220/04 COMPLETE & SUBMIT BY: 3-02-04 <br /> DATE DATE <br /> ATTN: RAY HOO <br /> SITE ADDRESS: 420 NORTH HEWITT ROAD, LINDEN <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 a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> AsZE,—irz's 4�•se�F4Z <br /> - a/s✓��.�/s�c�� �z��-dam) <br /> �zs�'s.�fsZgcGFz�iJ�-7.uc�o c� �c,✓� �✓G./P.�r1r�,��,cbz�f.q-�/ mss--� <br /> /�?1ah �2r3 ¢s`�U/xszm ��� �cc2t�cti✓d. <br /> S41 $) ZZ;UL <br /> -'tt�;.Ss(��C��f;��cci�//�YdZY�CS �/1�fGG��33cD5��-/ZIT-G/I�f7G'i��l�27is4' <br /> ToL1trl lAJSZgc[q-Z C1JC��A-77hL•- .4S CctaG£az 7s/G=Gt-c(� GS�iXtr?r.� ' <br /> �✓r <br /> I recommend:rApproval_ Deni ' Continuance Inspector's Signatu <br /> Supervisor/Lead Senior Comments: <br /> Q <br /> 6— 2oa <br /> Pa-cc�? A.4&• .� <br /> E ",.,/ V. <br /> o <br /> GL caw.d>rad�r+s <br /> Eta <br /> S PERVISOR/LEAD SeNIOR APPROVAL: <br /> . 2La'. o i <br /> EH 06 06 Rev IN9 <br />