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NOTE. PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> I � <br /> L ND USE REPORT I. APP# <br /> .EH D RECEIVED.app.REFERRAL: <br /> -L-d-:-4-79 COMPLET.E & SUBMIT BY <br /> ,i DATE I� <br /> � I DATE <br /> ATTN: Lfn <br /> T <br /> SITADDRESS: 91 <br /> 'M <br /> In IE <br /> ompleting the Land Use investigation, draw all Public Health factors on the e <br /> .., X111lJ1t (i.e.: sewage disposal, <br /> waer supplies, etc...).::Where necessary, on an attached piece of plain paper, draw completed map of area <br /> sh�ing population density, location of house, wind direction, etc.... <br /> Public water: d Alt- <br /> _ ,.,. _Public sewage: AlowL <br /> SUMMARY OR COMMENTS: <br /> tp <br /> I recommend: Approval Denial Continuance <br /> I Inspector's Signat �VZ <br /> *>E ie�i'�c aF it�r:F�r*>f at Je� Ir�r 9c>E ak ak ie ak ak 4t do>f�iekak Ir 9t ai aF a'r de�r aF a$$aic*a'r ak aF�e k aF ac air*�i'ae it aF*aF de atr*>6 afr 9e>r aF dr dr a?ae�r 9r aE aF ak 9e ie de Mfr�Ic ar*air�PrxaY 9r 9c aF* <br /> Su plllrvisor/Lead Senior Comments: <br /> lit <br /> dam <br /> 1111 <br /> S[JPERVISOR/LEAD SENIOR APPROVAL: <br /> OA IT CHECKOFF LIST: Proofreard,repoJCorrect LAND USE#.9 <br /> EH 06 Ob Rev 1/99 Correct CONDITION(S).? Logged in.LAND USE BOOK? "' <br />