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NOTE: PULL ALL PERMS (SEPTIC, WELL, ETC...) MSE COPIES FOR FILE <br /> LAND USE REPORT <br /> APP# � <br /> I-a7-03 COMPLETE & SUBMIT 13 `� q <br /> EUD RECEIVED APP.REFERRAL-DATE DATE <br /> ATTN: <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors on the exhib' (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 /> (2: 0L <br /> �0, nq <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> f0 , 0 <br /> . , o <br /> C_, :a <br /> SUPERVISOR/LEAD SENIOR APPROVAL: �< <br /> DA II CHECK OFFLI report?' Y : Correct L 4N=USE4#. <br /> Correct COIVDITIQN{S)9 ed hi LAND U <br /> 06 06 Rev 1199 , <br /> EH <br />