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LAND USE REPORT ,,.w APP#,-#Sa - C?y- 76 (?VJ d� , <br /> EHD RECEIVED APP.REFERRAL: � 3 q7 COMPLETE & SUBMIT BY all(o l q 9 J <br /> DATE DATE <br /> � ) <br /> ATTN: f'� Q r �J UOMA <br /> SITE ADDRESS: 3601 F. . // /U/I 4rc/ 110c-) -nue , .51ock DQ <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 /> et <br /> Fe <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> SUPERVISORILEAD SENIOR COMMENTS: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1/99 <br />