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{µ'-NO'T"E: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL; COMPLETE & SUBMIT BY_ftaAP ) <br /> DA DATE <br /> ATTN: ��e4 1�5kjLc ., <br /> SITE ADDRESS: Aocn F. L_ h1( 01:0A , WA Y U e- Cc/�__ _. <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, 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 /> ********�t*****ie*fryt******F*it****�t'r**it�Fie***:E***ir�ic**:F*�e�e**alcftie�c*�eeeeic ieSt�t;te**ie ieirieic9rirdedc**i{' *�F�r*�ra6 <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> 0A'11 CHECK OFF LIST: roofread rep rt Correct,LAND USE#9 <br /> EH Dh 06 Rev IMorrect CONDITION(S)?: Logged is LAND USE BOOK? <br />