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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EI-ID RECEIVED APP.REFERRAL: y v COMPLETE & SUBMIT BY ! Lo <br /> DATV DAT <br /> ATTN: _ C,lt- '� r <br /> SITE ADDRESS: <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 /> 9 LL <br /> 1 <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comme ts: r a,ZeA- <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> LAND USE LOG <br /> ON CALENDAR OA II CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USF.BOOK? <br /> EFi 06 06 Rev 1/99. <br />