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' FOR FILE <br /> X,0TE: PULL ALL PERN�(SEPTIC, WELL, ETC...) P OPIES�, <br /> .. rLA-01-76 <br /> - ,AND USE REPORT APP#, <br /> s <br /> r <br /> COMPLETE ! <br /> EHb RECEIVED ATI'.REFERRAL. 1 � CO & SUBMIT BY P- i —T <br /> DATE. DATE <br /> ATTN: KIMBERLY WALLAC ; 18300 N. ST. RT. 99 <br /> SITE ADDRESS: E. FRONTAGE RD. <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, loc f-house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> r <br /> r <br /> iu&i_I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> � . Prof read re ort?} Correct LAND IIS9#g <br /> 0A111C OFILIST _ - f� A <br /> Eli 06 06 Rev 1199 �s � _ Garrett CONDITION(.S) Lugged�n LAND USE BOOK <br /> J <br />