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NOTE: PULL- ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> 1 <br /> LAND USE REPORT APP# L.,$ -0 y - �l <br /> �� <br /> -a m COMPLETE & SUBMIT BY (' E <br /> EHp RECEIVED APP.REFERRAL: __�J � ?—,3 -00 <br /> DATE <br /> DATE <br /> ATTN: 10— s f <br /> SITE ADDRESS: QQ <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 /> If <br /> r <br /> Y recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> Is— <br /> �` -- <br /> o 4Annyz <br /> SUPERVISOR/LEAD SENIOR APPROVAL: f <br /> ;O �1 'Cairrert E91VD USS#9 <br /> EH 06 06 Rev 1199C'QIYDITIDN(S)? � Lagged rx 'LAND USE BOOK <br />