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rr� <br /> EPTIC WELL ETC... QIKE COPIES FOR FILE <br /> TE: PULL ALL PERNII'rS S , ) <br /> { <br /> LAND USE REPORT APP# - <br /> EHD RECEIVED APP.REFERRAL-.LV—`� COMPLETE & SUBMIT BY <br /> DATE DAVE <br /> ATTN: ' <br /> SITE ADDRESS: 1 0- <br /> In completing the Land Use investigation, draw all Public Health factors on e exhibit(L: 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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> 9e�r9c$c�'r�rftdr�c�c$cic�cx:F�ck9c�c�c-fc9c-fckic-Jr3r�c-fuck$ckvEdcaE�kdr�t9r9c�c�c9r3t�e�ex�e�eaF�e�'e�e9t�cit4c�tx�e$exie�ca"r�'cdrxde�'e9c�cic�c�r�ck3s�c3cdcdctF9txir�4le�e <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA H CHECK OFFLIST: Pro(read report? orrect L4ND USE#9 <br /> EH 06 06 Rev iris r -Correct CONDITION(S)7� Logged inL4/VDUSEBOOK� <br /> Correct <br />