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�€ NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC—) MAKE COPIES FOR FILE <br /> ii <br /> E� <br /> LAND USE REPORT APP# L-4c <br /> If EIID RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY l`' <br /> E� DATE DATE <br /> ATTN: <br /> SITE ADDRESS: t-211 i- <br /> °� In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> Ewater supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed reap of area <br /> € showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> �y <br /> Xf <br /> €i <br /> ll <br /> it <br /> u � I recommend: Approval—IZ Denial Continuance Inspector's Signatur <br /> :i <br /> Supervisor/Lead Senior Comments: <br /> E� <br /> Jfh <br /> EI <br /> 6 <br /> `ff <br /> `EyS� <br /> E! ' <br /> R ' <br /> F <br /> E5 <br /> E <br /> �,fSUPERVISOR/LEAD SENIOR APPROVAL: <br /> I� <br /> U� 1 CIlEC1�C DF ;LIST Proofread report k Correct LANb USE ? <br /> E!EH os ob Rev 1 99 � h=' Cvrrecl CDNDITIDN(S Logged un-L:�4AD'U. BOOK? g <br /> 0.7 <br /> !� ec <br />