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NOTE: PULL A _L "ERMh,-S (SEPTIC, WELL, ETC...) MSE COPIES FOR FILE <br /> LAND USE REPORT APP# O t' - 00 -1I <br /> EHD RECEIVED APP.REFERRAL: 5-30-0 COMPLETE & SUBMIT BY <br /> DATE / DATE <br /> ATTN: j1 /✓L I/ lAt-1 AIyfea <br /> SITE ADDRESS: 4rLl1 Af <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�,� t J � '✓ � �1 f��c� I -l?> �i4��'t�r,�Ca �.� n � 9 T19 �K�t S <br /> (,161 i (t' , �t�. �. ►>Yci U i°P'� <br /> n Cl Vt- { yi -C,D 1 uy,4 <br /> I recommend: Approval Denial Continuance Inspector's Signature �CYG/ <br /> ------------ <br /> 1199 <br /> ��111bD� <br />