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NOTE: PULL ALL PER 1Vk4-cS (SEPTIC, <br /> WELL ETC...} M* COPIES FOR FILE <br /> APP# <br /> LAND USE REPORT -a- <br /> COMPLETE & SUBMIT BY <br /> E11D RECEIVED APP.REFERRAL: PATE <br /> DATE ' <br /> ATTN: <br /> � A � <br /> SITE ADDRESS: <br /> sewage <br /> In completing the <br /> Land Use investigation, draw all Public Health factors on the completed map ofla area <br /> al, <br /> iece of <br /> water supplies, etc...). Where necessary,f house, dereption, etc.lain paper, <br /> draw showing population density, locate <br /> Public sewage: <br /> Public water: <br /> SUMMARY OR COMMENTS: <br /> ,off v M - <br /> Approval Denial Continuance Inspector's Signatur <br /> i� <br /> I recommend: A <br /> iri�deie9eia!eirieh9s�ekiek9eJei¢dt�e�kix�r9e�ie�s�eekasx�ric�c*�i*$c ieie$txiriciexie�r�e**aF�e*�eisieisie�t�e�4k�Fk3e4tie�r4t�e�e�r��k3tiaieieisieie4e <br /> Supervisor/Lead Senior Comments: <br /> -4iftj- <br /> 101101 <br /> l � <br /> 0 <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> II CIECK O. FF ,::°-Proofread report? Correct ItlIYD <br /> EH 06 06 Rev 1199 <br /> Correct CONDITIONS)9�, Lagged in LAND USE BOOK? <br />