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LAND USE REPORT `, APP# <br /> EHD RECEIVED APP.REFERRAL: 49 COMPLETE & SUBMIT BY <br /> 1/T <br /> D E / I DATE <br /> ATTN: ��� UoMAp <br /> SITE ADDRESS: `(Hdf1 �OW <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 /> AF O?, =�a��� Xl AAg <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> oy <br /> OL- <br /> a- �/ • al <br /> G-� <br /> .x� <br /> 2z <br /> w <br /> LAIND USE CHECK OFF LIST: <br /> Did you proofread the report? <br /> SUPERVISOR/LEAD SENIOR APPROVAL: DIPYOU USE THE CORRECT: <br /> _I/Land Use#? <br /> I/ondition(s)#? <br /> Did you log it as completed? <br />