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/cc- <br /> NOTE: PULL ALL PER1V)hS (SEPTIC, WELL, ETC...) NvoiKE COPIES FOR FILE <br /> LAND USE REPORT APP# 1 .1 (�- O 1- (9 3 <br /> EHD RECEIVED APP.REFERRAL: 'J ' COMPLETE & SUBMIT BY <br /> DATE DATE <br /> ATTN: J en n ;4,r W <br /> SITE ADDRESS: 5 1 / J Gi in -5-91 <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 /> A) / u ' � v <br /> 20 ' ° y Kiln <br /> _ � r <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> 0Y <br /> /10 <br /> 0 :d <br /> C OA:)wLrnP <br /> A . <br /> VP <br /> Old <br /> JL <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST: _Proofread report? _Correct LAND USE#? <br /> EH 06 06 Rev U99 _Correct CONDITION(S)? Logged in LAND USE BOOK? <br />