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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> SA-00-3 j?4�j lSeV0 <br /> EHD RECEIVED APP.REFERRAL: —GI COMPLETE & SUBMIT BY S :�?, a --0 <br /> DATE DATE <br /> ATTN: Q � <br /> SITE ADDRESS: 32300 S. Tracy Blvd. <br /> In completing the Land Use investigation, draw all Public heann tactors 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 /> 9 <br /> I recommend: Approval Denial Continuance Inspector's Signature - <br /> dr�F*ir�k 9c ie rr*ic rr 9c�c it�c�c�k�c�r*�c�c�k�F it rx it*fc*9c�c*�c�'c do�c�F�F�Y�c ick*4c�r is is nE�c is 9c�E�F�F it 4c�c is�c icxxic is�F�F is is aE�cx�c it is�c is 9c�c*icxic is is is is is is is <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />