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LM <br /> NOTE: PULL ALL PERMh S (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> PA-0300573 (GP) SU0005847,PE 2691 & <br /> LAND USE REPORT APP#: PA-0500807 (ZR) SU0005848,PE 2666 <br /> EHD RECEIVED APP.REFERRAL: 12/27/05 COMPLETE & SUBMIT BY: 01/11/06 <br /> DATE DATE <br /> ATTN: JOHN FUNDERBURG <br /> SITE ADDRESS: IK60 N. TULLY ROAD, LOCKEFORD <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 a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: y <br /> SUMMARY OR COMMENTS: <br /> /�- 0. :j--,--5,7 <br /> �'� rY� /l/��i/�E` �C���Z'ii�i' � �J�2 'l ✓�.c�iz7i <br /> I recommend: Approval Denial Continuance Inspector's Si ature ��. %� <br /> Supervisor/Lead Senior Comments: <br /> nq <br /> 6'� -2:2-: -� <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1/99 [OA II CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE BOOK? <br />