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NOTE: PULL ALL PERMTS (SEPTIC, WELL, ETC...) ItMKE COPIES FOR FILE <br /> LAND USE REPORT APP# P a --o �7- ag � r'I( 5) <br /> EHD RECEIVED APP.REFERRAL: 3 COMPLETE & SUBMIT BY lQ/4 (V r) -) <br /> DA DATE/ <br /> ��AT1TN: 6�v� .o _ ��U (�e- r <br /> SITE ADDRESS:dam ry • �AU —� <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: �z,�, Public sewage: <br /> SUMMARY OR COMMENTS: <br /> oy <br /> ✓tea oa <br /> I recommend: Approval Denial Continuance Inspector's atu <br /> Supervisor/Lead Senior Comments: <br /> .m <br /> Q 6 cr.��4•r <br /> a�1- ✓ v <br /> c <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA !/CHECK OFF L/ST: Proofread report? _Correct LAND USE#? <br /> EN 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOR? <br />