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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...MAKE COPIES FOR FILE <br /> LAND USE REPORT <br /> J qq APP# 9/Q-//J y <br /> EHD RECEIVED APP.REFERRAL: / o"'� COMPLETE & SUBMIT BY �/(//% <br /> DAT DA <br /> ATTN: —2? 9 4/ 111012-In" �, . 5Lr Zvi <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 /> 1 <br /> Public water: A/A- Public sewage: a f4- <br /> SUMMARY OR COMMENTS- <br /> Ob <br /> OMMENTS:06 <br /> 44 <br /> I recommend: Approval C Denial Continuance Inspector's Signature;/i <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> [OALI CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> EH 06 oe Rev 1/99 _Correct CONDITION(S)7 _Logged w LAND USE BOOK? <br />