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NOTE: PULL ALL PERKS (SEPTIC, WELL, ETC...) �KE COPIES FOR FILE <br /> LAND,USE REPORT APP# 14 -O <br /> EHD RECEIVED APP.REFERRAL: dJ��` COMPLETE & SUBMIT BY <br /> DAT£ p / DA'C'E <br /> -- ff � <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 /> / y <br /> A �iT r•�, -As r' <br /> r- ko <br /> Al AOSeJ Vk5mr <br /> I, <br /> r <br /> -aL / 0 liz //' <br /> 22 `. t <br /> i <br /> I recommend: Approval Denial Continuance Inspector's Signatur ' <br /> Supervisor/Lead Senior Comments: <br /> 42 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> DA II CHECK OFF LIST. $" Proafrevd report? y Carred LAND USE#9. <br /> EH 06 06 Rev 1199 ' b Correct CONDITION{S)? " °Lagged in LAND USE BOOK? <br />