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l <br /> )v <br /> } <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MASE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: ` `�I COMPLETE & SUBMIT BY ��— <br /> DATE DATE <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: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> 15 <br /> y n �- <br /> p� <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor[Lead Senior Comments: <br /> X-1 <br /> "x.41 L aE `.�y -C <br /> J�7 : C / yy -©/ <br /> SUPERVISOR/LEAD SENIOR APPROVAL: EE <br /> OA II CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> E!106 06 Rev 1/0 Correct CONDITION(S)? Logged M LAND USE BOOK? <br />