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3 NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...)'MAKE COPIES FOR FILE <br /> t r_t <br /> LAND USE REPORT App# <br /> 8 erre <br /> EHD RECEIVED APP.REFERRAL: `_?_qCOMPLETE & SUBMIT BY IqS610- "/v- 99 <br /> DATE <br /> DATE <br /> ATTN: J e,PP CLJLK <br /> SITE ADDRESS: -..I �� �11� .,,.T�/n,e P- j . LD A_r_ <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 reap of area <br /> showing population density, location of house, wind direction, etc..._ <br /> Public water: -Public sewage: i. <br /> SUMMARY OR COMMENTS: <br /> s <br /> i <br /> i <br /> I <br /> i <br /> y , <br /> � . <br /> I recommend: Approval Denial Continuance Inspec#or's Signature <br /> Ir air 9r***air****ir it ae ie at+h aye 9e of�e*********jea'sie*ai ac ie ac*de 9r aY aY**k********a'ra$ie ae*atxx***ak a'r ie it+e ip****-Jr' ie*ac**ir ae 9e*a1r <br /> I <br /> Supervisor/Lead Senior Comments: <br /> r <br /> I <br /> SUPERVISOR/LEAD SENIOR APPROVAL: i <br /> OA It CHECK OFF ST: roofread.report?' Correct LAND USE#9' <br /> e>i+%06 Rev t�9� Correct CONDITION(S)? Logged in LAND'USE BOOK? <br />