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L � <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) NIA`KE COPIES FOR FILE <br /> LAND USE REPORT APP# J _O }yam 'slL--�R-\ " <br /> e TU� YWY,�! I <br /> EHD RECEIVED APP.REFERL: /,q, a3& 3 COMPLETE & SUBMIT B E <br /> DAT E <br /> ATTN: h nE <br /> SITE ADDRESS: Lr �9 9 E �2A L-;V e. d• ��` <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 /> oy , ii <br /> ii .971 �.a- �, ��g� �- �/� i.•�% - �� �,ry�.�- <br /> I recommend: Approva Denial Continuance Inspector's Si <br /> Supervisor/Lead Senior Comments: <br /> C6YL7` r✓riC die e7/ �o "�¢�.G --l�ir� G�trC Zi/ <br /> i <br /> — <br /> o � E 1� ,�%►\ a�'.c.� yet <br /> SUPERVISOR/LEAD SENIOR <br /> .Y AaPPR OCL: <br /> ate <br /> OA II CHECK OFF LIST: _Proofread report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE BOOK? <br /> 110606 Rev 1/99 <br /> A2 Sit <br />