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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC.::) MiYKE COPIES FOR FILE <br /> LAND USE REPORT APP# PA - o -- , 064A) <br /> q13�;C 3 <br /> EHD RECEIVED Arr.REFERRA€: 0�3 COMPLETE & SUBMIT � — <br /> A. <br /> DAT DATE <br /> ATTN: CA <br /> F <br /> SITE ADDRESS: I <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 /> 2- <br /> I <br /> I recommend: Approval Denial Continuance Inspector's Signature ' <br /> �c do�Y 9e�rx*xaF�c 9c�e dr is�E�c�e 9e�F i4 hic�c 9e k�c dc$c�'c�e�r zF is�Fx�c ix�c�c�e�e k3c vk$c�e�e is�c*$c�e�e 9c,Y*�F 9c Sc ie 4c ic��c k�c is is dcxic is it is ac x�k$ c$c dcx�ex4c-Jc nF�e <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA'II CHECK OFF LS7' r N proofread reporl? r Correct1ND',USE#7 <br /> F Correct CDNDITION(S) Lvgged hi LAND.USE BOOKSt�r ' <br /> Eli 06 06 Rev 1199 � <br />