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NOTE: PULL ALL PERM S (SEPTIC, WELL, ETC...) Y KE COPIES FOR FILE <br /> LAND USE REPORT APP# -9q -/06 <br /> END RECEIVED APP.REFERRAL: /-1b-1)0 COMPLETE & SUBMIT BY - 1 - 00 <br /> DATE / DATE <br /> ATTN: Je J04'- Ef'SkLr— <br /> SITE ADDRESS: S fi Ci f- . ryI oG r '02oSc, <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.... /�j <br /> Public water: �/ <br /> � W- Public sewage: X rT <br /> SUMMARY OR COMMENTS: <br /> b ` <br /> I recommend: Approval-,`" <br /> pprova Denial Continuance Inspector's Signatur <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA 11 CHECK OF LIST. Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged ix LAND USE BOOK? <br />