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NOTE: PULL ALL PERM11'S (SEPTIC, WELL, ETC—) N1tiKE COPIES FOR FILE <br /> f� APP# LP - D D <br /> LAND USE REPORT <br /> i <br /> EHQ RECEIVED APP_REFERRAL: I oC '7 -0 O 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 /> I showing population density, location of house, wind direction, etc.... <br /> Public sewage: <br /> Public water: <br /> SUMMARY OR COM NTS: <br /> !I <br /> a <br /> k. <br /> E; <br /> I: <br /> II l <br /> fi <br /> � J <br /> E� <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> �rdco'e*is�t+e*�c*aE�F4e�rx�r*3c*$e�rvF�edr�i�r�F*�ea�ex**�c9e9ede�c*�E�t$rie**�F�sar*ie**�c4c�eak�raF*!c4ek*�F*�kdr9ea�eJr9c**dt�lrievieek3c!ceF�lyde9c*3c9t�knF* <br /> q Supervisor/Lead Senior Comments: <br /> kl <br /> i <br /> i <br /> r <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> �4A II CF�EG`K DFFL�T='�- �"`�Q�fread report ` -- ��G'orrect_L.4ND[ISE#?� <br /> ��������`�� � ;`� '� Cprrecct CGt.NDIT1'ON(SJ�� ' '� Loggedin LAND IISE$04K7� <br /> EH Ob 06 Rev Y199 a ,hb:;; a.. E, ?�, p ,<. a >. Qm• � .A_ ' <br />