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NOTE: PULL ALL PERMUf S (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EI-ID RECEIVED APP.REFERRAL. <br /> '"J - 3 -0-0 COMPLETE & SUBMIT BY '/9/12 7 `/3-013 <br /> DATE DATE <br /> ATTN: <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 /> r d ~ <br /> 101, <br /> t <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> *x�*414141 <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> DA II CHECKOFF LI5"T , Pivofread reports ��hCorreriIll USE#? <br /> FH 06 06 Rev U99 $Correll COM)f I011� � "� �` Logged rn LAND CdSEBO(�K� <br /> ;?0 E< ,T�a,e.r 4<. s1.? E.�ri `k..,-.-.r -.,"x,•"`-„« "t' ,s._ �s;;$:: s, <br />