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id <br /> /Yf . <br /> ,�• NOTE: PULL ALL PERMS (SEPTIC, WELL, ETC...) A --i,KE COPIES FOR ILE <br /> LAND USE REPORT APP#, s- n f -- 5 <br /> EHD RECEIVED APP.REFERRAL: _ `�i_ COMPLETE & SUBMIT BY DAT <br /> DATE <br /> ATTN: j p <br /> SITE ADDRESS: G. v e <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: <br /> SUMMARY OR COMMENTS: <br /> it G6 <br /> 2Z�3 s U-66&, <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> 06 —IV <br /> L., ; 0 3 <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> eOA 1'I CHECKOFFI.S <br /> L "; � < {Praofreaif report? -�� �Correct LAND USE#9 <br /> z °fi k f `Correct CONDITION(S)T x< ' Logged lit LAND USE BOOIC� <br /> EH 06 06 Rev 1199 ` , <br />