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NOTE: PULL ALL PETS (SEPTIC, WELL, ETC...) AKE COPIES FOR FILE <br /> LAND USE REPORT APP# r� a - r 3 (`-t1-) <br /> "�a 4c7� COMPLETE & SUBMIT BY . r a -0 <br /> EHD RECEIVER APP.REFERRAL: <br /> DAVE E "Big <br /> ATTN: (U <br /> u <br /> SITE ADDRESS: 4 <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 /> i <br /> I recommend: Approval Denial Continuance Inspector's S' <br /> *****aE*$c�e�FaE�F9e�'t9e9t�e�r�'t*ac�r�e�r�e*�Ir*de ie ie*i�****�Ede�txxxieieirxx*ieek�r9e�kaFxe4ieicir*ic�c' 9r 9c$t 9e k�ededeirdrx*k�e�F�c$c*it�tx�Y <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST: I i Pr,opfread repnrt� Correct�.4ND�T.SE# <br /> EH 06 06 Rev 1/99 , E Correct CONDITI0IV(S)? Lagged rn LAND USEBDOK' <br />