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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES MR FILE <br /> LAND USE REPORT APP# L <br /> EHD RECEIVED APP.REFERRAL: 13eAore <br /> COMPLETE & SUBMIT BY-ASR (p y�2 _ Q q <br /> DAYE DATE <br /> ATTN: <br /> SITE ADDRESS- <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: - PAI A - _ - Public sewage: t l I _ <br /> SUMMARY OR COMMENTS: <br /> 0 I :AAP.o_v-Atr P,24o-R -ry\Qv-#e p.E A6- <br /> fir' 7 E Ate )-r-,04 TD -r�E mitis ri 6: pP�ES�dJ t GPASi .ter ®F A <br /> ",AjgrA 404 T", .a GLosE7- r,. r-. e DEAs,rA01)we ayco t!, sea coo <br /> 7 {.�- 7? SEA'r/4. 9 Li A7 13 5 g,0 6 t eA 10155 rsP.�uTia —r -- <br /> - <br /> T,k;- "rl► F- `� <br /> CZt-% GoAry s�r/orA Av- 1ACA6o1U l-r-wo64L. -t4 &Z.os a,. <br /> I recommend: Approval ?" Denial Continuance Inspector's Signature <br /> k***k*******�*ir****dcYie:Fife*Jrfrnlr:FsY�rekYe�cF*IcYekFdeileY�eirde9e�lr9edt*ic�cic****:kEk*:EaF***E*lir*�e9c***irirve-Jreic**ienF*ie�e <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA ff CHECK OFF LIST '` Proofread report',"' Correct LAND USE#9 <br /> EH 06 06 Rev 1/99 correct.-CONDITION('SJ7 Lagged int LAND USE.BOOK? _ <br />