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NOTE <br /> PULL ALL PERIMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# 9 L?'� <br /> 131 ire. <br /> EI-ID RECEIVED APP.REFERRAL=DATE 1J' COMPLETE & SUBMIT BY S: P S 9 <br /> pAre <br /> ATTN: <br /> SITE ADDRESS: <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: <br /> Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature) <br /> Supervisor/Lead Senior Comments: <br /> 0 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> o• <br /> OA II CHECK OFF LIST: Proofread report? Correct L4ND USE#? <br /> EH 06 06 Rev iiyv Correct CONDITION(S)? /Logged in L t VD USE BOOK? <br />