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A <br /> NOTE: PULL ALL PERMTS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT <br /> EHD RECEIVED APP.REFERRAL: d Y ll� COMPLETE & SUBMIT BY <br /> DA DATE <br /> ATTN: <br /> SITE ADDRESS: <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, loca f n of house, wind direction, etc.... <br /> Public water: Public sewage: co?, <br /> SUMMARY OR COMMEICTTS: <br /> Q <br /> jai <br /> Cf <br /> t� /� <br /> 2 d / <br /> I recommend: Approval Denial Continuance Inspector's Signature/ <br /> Supervisor/Lead Senior Comments: <br /> r <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 11 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />