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t rte, <br /> NOTE: HULL ALL PERMITS (SEPTIC, WELL, ETC—) KE COPIES FOR FILE <br /> LAND USE REPORT APP# L O O <br /> EI-ID RECEIVED APP.REFERRAL: ' b '00 COMPLETE & SUBMIT BY_ / 7 0 <br /> DATE DATE <br /> ATTN: 7— n_n 1A_b rm e S <br /> SITE ADDRESS: 115 6�.���.► /fid• .� -� -- <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 /> 1 <br /> 7�,r 2 -' VL <br /> I recommend: Approval Denial Continuance Inspector's Signature,/ 2 <br /> Supervisor/Lead Senior Comments: <br /> .moi <br /> SUPERVISOR/LEAD SENIOR APPROVAL; <br /> (JA II'CILeG1�C ET <br /> agg <br /> LISTS aofread repord? � rrect LAND USE#9 � <br /> EH o6 06 Rev 1199 ` �`� ` arreclC4.�tr�3I7TONSJ� � LAND,:_IISE13001�� <br />