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S_ - <br /> NOTE: PULL ALL PERS TS (SEPTIC, WELL ETC COPIES FOR FILE <br /> LAND USE REPORT <br /> APP# -aa. � � 3� ��14) <br /> EHD RECEIVED APP.REFERRAL: � 2 COMPLETE & SUBMIT BY AP. <br /> ATTN: DATE ` <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage di <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of areasal, <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: � <br /> Public sewage: <br /> SUMMARY OR COMMENTS: <br /> �T <br /> I a. <br /> I recommend: Approval Denial <br /> Continuance Inspector's Signature �,.E � �•� `���e <br /> �cir�'c*:r�*jc�exkirdex$cx�c:E�ek9c'e�F�exick�cFkF�'r.xx�E�'c�k�t�eie�x:k�'eekdc:F��cicxxoFiruxdrirxeFxx9e�cxicxxxk�F'cirxcareF'xc�ccxx-kk:'r�irxir <br /> Supervisor/Lead Senior Comments: <br /> w <br /> U <br /> A ,S <br /> I <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> ENTERED IN LAND USE LOG <br /> EH 06 06 Rev 1199 WDROP DEAD ON CALENDAR Correcf LAND I3SE#? <br /> .egged is LAND USE i6b <br />