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�y <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...)IGIAKE COPIES FOR FILE <br /> LAND USE REPORT APP# 9 _ V0 <br /> EHD RECEIVED APP.REFERRAL: (O a�- COMPLETE & SUBMIT BYA P- �e 3 (J <br /> DATE <br /> A / All / DATE <br /> ATTN: <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors on the a 'bit(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 /> 02 w y <br /> $ '2 20 v3 <br /> cz l s- : 02, <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK 07F LIST.- _Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 11 Correct CONDITION(S)? _Logged in LAND USE BOOK? <br />