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TE: PULL ALL PERM `S (SEPTIC, WELL, ETC...) Ti1.4 E COPIES FOR FILE <br /> / �Jr5lc7►'1 oa'� <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: ` COMPLETE & SUBMIT BY 16— C)6— C o� <br /> DATE DATE <br /> ATTN: A A..1 J k <br /> SITE ADDRESS: EJ 6 g <br /> In.completing the Land Use investigation, draw all Public Health factors on the exhibit 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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> do do dr is�r 3r�'e�e�c dc'.�'c�kx�e�exK�r*aF'c 9rxx�k pie�e x9c 9e�k�9c*ic 9r sic ie dr�e 9c$t�k do 3c kok�e do�k k$t tk�c is 9r 9cx�c rk xic vc hdcx�c i�ir*�kx xx�e�t�k�k is drxxxicxde�e a'ex <br /> Supervisor/Lead Senior Comments: <br /> I! <br /> c <br /> I <br /> I <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> AH CHECK,OFF LIST 4 Proofread,report? _.:=` Correct LAND USE#9 -. <br /> EH 06 06 Rev 1199 Catrect CONDITIONS} Lagged in LAND,USE BOOS? <br /> 3 r n <br />