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NOTE: PULL ALL PERN'� -e'S (SEPTIC, WELL, ETC...) _,XE COPIES FOR FILE <br /> LAND USE REPORT APP# OV <br /> EIID RECEIVED APP.REFERRAL: f COMPLETE & SUBMIT BY A P. IFS�( / <br /> DAT <br /> ATTN: �C <br /> SITE ADDRESS: a a oL S PC <br /> In completing the Land Use investigation, draw all Public Health factor 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 /> t / ' <br /> t , <br /> -7- <br /> fZ� I <br /> a <br /> I recommend: Approval Denial Continuance Inspector's Signdture'- ' <br /> Supervisor/Lead Senior Comments: <br /> / ! <br /> -• - ,dote s- ' <br /> n <br /> Wt <br /> L4+1 <br /> 0'L <br /> .ff <br /> SUPERVISOR/LEAD SENIOR APPROVAL: >, <br /> OA II CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> EFI 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />