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LAND USE REPORTS APP V,, s A- g 9- as <br /> END RECEIVED APP.REFERRAL:] COMPLETE & SUBMIT BY q —a0 - y9 <br /> DATE DATE <br /> ATTN: -31.9 ! 5 . `S f )C-7L &2q . -eh�nrie. S�k� <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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> LAPID USE CHECK OFF LIST: <br /> Did you proofread the report? <br /> SUPERVISOR/LEAD SENIOR APPROVAL: DID use THE coRRLcr: <br /> V Land <br /> Use#? <br /> �Condition(s)#? <br /> Did you log it as completed? <br />