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NOTE: PULL ALL PERM I'S (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> n <br /> LAND USE REPORT APP# �.!-3 - r -7 <br /> EHD RECEIVED APP.REFERRAL: C;b-ol COMPLETE & SUBMIT BY .3 -.9,6-o,I <br /> DATE ! DATE <br /> ATTN: J-6 1! <br /> SITE ADDRESS: 25-110 P Aw _ <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: eN� <br /> SUMMARY OR COMMENTS: <br /> 6 /"r"3mc <br /> PY T <br /> P0104 <br /> T� (u1V � t�5 l► <br /> i <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> �e 72�e it 7k�e 9e�t�71t�e 4e*9t 9c 3s�c 9r$c 9c�F hit h9c*dc SFr 3e de 4e$9e�e�t�r�e 9r$�r�r 4e 9e*i�vfr$e fe it ok it vF�c hnE:E�F�F ak ie�E�e is�c$e de 3s dr�e�4 dr nF a47ti 7k 4r 4c of�e nF ii�r ie$�i�e 3t ix ix$ <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORJLEAD SENIOR APPROVAL: <br /> OA II CHEC1�'DFFELISI' ����Proafread report?,; ���� Correct.�.,9ND iISE#9�� <br /> EH 06 06 Rev 1199 '` ' � Cairect CONDITIONfS} Logged to LAND USE BOOK? <br />