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NOTE: PULL ALL PE1r,.,IITS (SEPTIC, WELL, ETC...)-rdAKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: 0-ZD-P-1-- COMPLETE & SUBMIT BY y�sf t /UZ, <br /> DATE <br /> DATE U <br /> ATTN: 4 L L <br /> SITE ADDRESS: T <br /> In completing the Land Use investigation, draw all Public Health factors on thee ibit (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: n <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> *xx* xxxt**x� t xx* **KFx+n*x�*xx *Kxxxxxxxxxx,x*Kxxx*xx�xxn*** **xxrvv x *v* + x <br /> Supervisor/Lead Senior Comments: <br /> 0 S <br /> may: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK 01YF LIST. _Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev v99 Correct CONDITION(S)? _Logged in LAND USE BOOK? <br />