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LG <br /> NOTE: PULL ALL PERMIYS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# 4 4 <br /> EHD RECEIVED APP.REFERRAL: �" �I COMPLETE & SUBMIT BY 1 -2 IA 9 - <br /> DATE <br /> ATTN: J A4,4I v d <br /> SITE ADDRESS: �' <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 /> 212�07 - .F <br /> I recommend: Approval <br /> Denial Continuance Inspector's Sig: 4Tlsr` <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOWLEAD SENIOR APPROVAL: <br /> OA h CHECK OFF LIST., _Proofread report? Correct LAND USE#9 <br /> Correct CONDITION(S)? _Logged in LAND USE BOOK? <br /> Eli 06 06 Rev 1/99 <br />