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n . <br /> NOTE: PULL ALL PERMk,t'S (SEPTIC, WELL, ETC...) N17eKE COPIES FOR FILE <br /> _ fi <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP,REFERRAL: — <br /> �Q 7 COMPLETE & SUBMIT BY /� - _2V--a D <br /> DATE DATE <br /> ATTN: Lno o 10,,�j <br /> SITE ADDRESS: Z45,-0,0(0, <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 /> / o <br /> ►� <br /> 4 <br /> I recommend: Approval Denial Continuance Inspector's Signature ` <br /> Supervisor/Lead Senior Comments: <br /> 0 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: w <br /> DA'IT CHECK OFF IST. reporJ? Correct LAND USE#9 <br /> EH 06 06 Rev 1/99 a6 Y `Correct CONDITION{s)? 'Lagged iJi LAND USE BOOK?2� " <br /> ... "�.:` -,�,; .x .......ans."1°, 'rr.,,z ...,.,;.°. <br />