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NOTE: PULL ALL PERM ' 'S (SEPTIC, WELL, ETC...) lvrXKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHDRECEIVED.aPP.REFERRIi: D�aa'O79 COMPLETE & SUBMIT BY-/-],--)I1 r�"� 3y 0/1q/ <br /> q9 <br /> DATE , , DATE <br /> ATTN: _� W e-Arm e r'�5ile.— <br /> SITE ADDRESS: 0 - <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: __ � 1` Public sewage: <br /> SUMMARY OR COMMENTS- <br /> 1 <br /> r <br /> I�I <br /> •� yII <br /> yI <br /> I ' <br /> IyI� <br /> I <br /> m+ I� <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> 4c****ic**9e**�kiei;�cE**dt�ck�edc*it�e**fie* Ir*ic**Mfr***k�c** 'c****�r*It***iex�e*�c***tle* e�ex**�e*Ir****9e ie 4eic*�c�evk*9r** <br /> Supervisor/Lead Senior Comments I� <br /> I <br /> I <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA'�H CHECKOFF LIST.' Proofread report? Correct LAND USE#?' <br /> EH 06 06 Rev [/99 LJ <br /> Correct CONDITIONS)?, Lagged rn LAND USE BOOK? <br />