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NOTE: PULL ALL PERNnTS (SEPTIC, WELL, ETC...) ivxAKE COPIES FOR.FILE <br /> LAND USE REPORT APP-9 L /q ­q9 Y6 / <br /> EHD RECEIVED.APP.REFERRAL: j COMPLETE & SUBMIT BY / — <br /> DATE DATE <br /> ATTN: -1—r o a (/-j Lk r no-e-"sk-r <br /> SITE ADDRESS: _..,, .1. 1, ... <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:. /VbA)-- Public sewage: <br /> SUMMARY OR COMMENTS: <br /> 6 10� <br /> I recommend: Approval Denial Continuance Inspector's Signatk,L� �17it� <br /> *******zir�c�'r�tr�cie�dc�h*ir�ic****aFa��c****�'s*�c*�F*ic**�'s:k**dc�c*�t*�e�rft9r$t$r*�txYt�kk�eievYie*aY�kvFvk�irvek�ce'e*fie*�c�'e3c�cic�i�ric�cir�F <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1199 Correct CONDITION(S)? Lagged in LAND USE BOOK? <br />