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NOTE: PULL ALL PERl1-.,-S(SEPTIC, WELL, ETC—)C:iE COPIES FOR FILE <br /> . LAND 'USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: - -• COMPLETE & SUBMIT BY <br /> DATE DATE <br /> ATTN• <br /> SITE ADDRESS: .! pts L <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, l cation of hous wind direction, etc.... <br /> Public water: W p <br /> iLIV ublic sewage: A <br /> SUMMARY OR COMMENTS: <br /> k <br /> - O-3 {r- . �s�-u c.-�� � Ph i 2- <br /> xv-exs fX 7A dL <br /> �f s fry U! -td za� iii i/� r dltnr�a c'I . <br /> L,I n- Cd2A <br /> 97- 0 240 i .. S <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> -_ <br /> 16::�:e <br /> // 10,.T <br /> b . --22doy <br /> alj4e;� 7i <br /> co <br /> SUPERVISO EAD SENIOR APP OVAL: <br /> F17 11 a3r <br /> 0A II CHECK OFF LIST " Proofread report? Correa LAND USE#? <br /> " ' C'orreci CONDITI0IV(S)? Logged in LAND-.USE BOOK?, <br /> Ell 06 06 Rev 1l49 o � <br />