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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP-9 <br /> EHD RECEIVED APP.REFERRAL: (� —�U— COMPLETE & SUBMIT BY <br /> DATE DATE <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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> is ic>a sc yc is ic:cxxicxxxx�cxxic is re*ie is is�F>'c�c is is*icx>c is�c:c icxicx:c icxic>exicXic sc 7c ic:4*ic is*icxxicxxxie is�c re icxie is is is�c is is is iex�c�cxic:F�'c is i�>c <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST. Proofread report? Correct L.-IND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />