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of <br /> LAND �JSE REPORT 6IAPP#--~6(q ' 9 9 - / 1>9 <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY 5116107 <br /> DATIJ <br /> ' DAT <br /> ATTN• T,(11)Mna <br /> SITE ADDRESS: 7 QJQ E: - ( cc Uade�1_-, m-yQ <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 /> dF <br /> C r <br /> I recommend: Approval Denial Continuance Inspector's Signatur9�-Pw 1::Grto/ <br /> x it�c icX�c 9c�c Fn�cxF icx*4e is acxye:F�F 4cx:c�c*�*iexix sr ak***�e icxne air�e ix:ex�4x kic is is is ie 4c do*�Fxic irx4e is 9c�c yr 9e 9c ie�c ie�'exx�c 9e*xxdc:c ix�c*�cxxis <br /> Supervisor/Lead Senior Comments: <br /> r�Q <br /> LA1�1D USE CHECK OFF LIST: <br /> Did you proofread the report? <br /> SUPERVISOR/LEAD SENIOR APPROVAL: DID OU USE THE CORRECT: <br /> and Use#? <br /> Condition(s)#? <br /> 32 Did you log it as completed? <br />