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NOTE: PULL ALL PERM�'1 S (SEPTIC, WELL, ETC... <br /> NOTE' <br /> COPIES FOR FILE <br /> APP# nn_ n3 _ 5 7� / <br /> LAND USE REPORT No � . <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY a/1•�'/03 <br /> ATTN <br /> SITE ADDRESS: 5 <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: <br /> Public sewage: <br /> /L-(/"— <br /> SUMMARY OR COMMENTS: <br /> L <br /> kazle 511 <br /> I recommend: Approval Denial <br /> Continuance Inspector's Signature -�� <br /> Supervisor/Lead Senior Comments: <br /> 6 <br /> Q (� <br /> 0 Z 7 �• <br /> 110 <br /> �'�iT,pO�JCu A'i1.f1.D /f•—�t�il s� �L{�.j,; � �— n <br /> tR Si —L� A4 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> D. as : a ! <br /> OA II CHECK OFF LIST: _Praojrend report? Correct <br /> LAND USE BOOR? <br /> Correct CONDITION(S). _Logged in <br /> 11106 06 Rev 1199 <br />