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NOTE: PULL ALL PERMFfS (SEPTIC, WELL, ETC-) N,, KE COPIES FOR FILE <br /> APP# <br /> LAND USE REPORT . m4 <br /> EHD RECEIVED APP.REFERRAL: I 0 d COMPLETE & SUBMIT BY <br /> ASDE <br /> DA <br /> ATTN: <br /> SITE ADDRESS: b <br /> S <br /> In campg <br /> letin the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: <br /> sewage maof disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw comp <br /> area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: 4 <br /> _ a0 <br /> w <br /> I recommend: Approval Denial Continuance Inspector's Si <br /> �fe�4 do�F ie�c is it%X3cF�e lc it jc�rxx*lcx*fit�e a'ck'F�'c is kir dt 3s$e�r�k�t kie*K��r aF kde�c dt de�k�E 9e ie�c it$r aF�Y k�e pie�r aE>c <br /> SupervisorlLead Senior Comments: <br /> .17 <br /> dot <br /> p- <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA,II'CHECK OFFLIS7 - Xs �'roofread reports Correct LAND.t7SE ? <br /> Correct "`Lo edin LAND USEBaOK� s� <br /> CONDXTI[JN(S) g� � €ri <br /> Eli 06 06 Rev 1199 <br /> 3 <br />