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.. �l . <br /> S (SEPTIC, WELL, ETC...) <br /> ;1E COPIES FOR FILE <br /> NOTE: PULL ALL,PERMIT <br /> APP# <br /> LAND USE REPORT <br /> P.REFERRAL: �� `f COMPLETE & SUBMIT BY t� 5DATEP <br /> EI3D RECEIVED AP DIPJ <br /> T <br /> ATTN: ` <br /> SITE ADDRESS: <br /> the Land Use investigation, draw all Public Health factors on hd aw olmpleted map of�arp anal, <br /> In completing <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, <br /> showing population density, location of house,wind direction, etc.... <br /> Public sewage: <br /> Public water: <br /> SUMMARY OR COMMENTS. <br /> Continuance Inspector s Signa e <br /> I recommend: Approval Denial <br />,. ic , <br /> *9e�e ***x*Jt de* ie*xiecie�e* <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> "Proo read report? Correct LAND;USE# <br /> OA II CHECK OFF LIST f Lo ed in LAND USE B40K� <br /> CQNDITION{S) <br /> Eli 06 06 Rev 1199 _ <br />