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t <br /> NOTE: PULL ALL PERNMTS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# - J <br /> EHQ RECEIVED APP.REFERRAL: 1�2COMPLETE & SUBMIT BY;°A;_ - r i qa <br /> DAT DATE <br /> ATTN: My 1Ev- <br /> SITE ADDRESS: f4, <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 neap of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> 36^ <br /> LI-2 <br /> .7— <br /> I recommend: ApprovaK--- Denial Continuance Inspector's Signatur <br /> * k*ie**F**fir it**xicxia i�x i**fie nF�r rc�c***k!c'e'Jc***dr�r Jr is**ir is is is*xie is iv is*F*ic*�c eek* 's sr is*ic* <br /> Su ervisot`TLea Senlor- Comments. <br /> P - <br /> • <br /> AD <br /> Ig <br /> Y-41 P <br /> OF <br /> r � <br /> r <br /> SUPERVISOR/LEA�SENZOR APPROVAL: <br /> OA II CHECK OFF LIST.: Proofread report? Correct LAND USE#?. <br /> EH 06 06 Rev 1199 <br /> C6rrect CONDITION(S)? Logged in LAND USE BOOK? <br />