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WELL, ETC...) MAKE COPIES FOR FILE <br /> NOTE: PULL ALL PERMITS (SEPTIC, S u <br /> LAND USE REPORT BY � <br /> COMPLETE & SUBMITD E <br /> EHD RECEIVED APP.REFERRAL'D <br /> ATTN: <br /> 15, G <br /> SITE ADDRESS: c� <br /> tin the Land Use investigation, draw all Public Health factors on the dr�ol (i.e.: <br /> 1leted map of area In completingP <br /> water supplies, etc..•)• e location of housan attached direction, etc....plain paper, <br /> showing population density, <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> p 'U2 <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> �c 9c�e ie*xdc*fie i��c�c 4c�i is ie�E�e�k o'c�F re�c�c�i of it�c ie ie aF hex*ic is�Y 4exic�Y�c�e iczic is is rc ie*fie 3c�F�e�+c�c ak�c*ic 3c a2 re�e�e ak de�k�Y�F 9e�F ix�c ie ie ie ie is is is ie iv�e 9e*ie rc ie <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOWLEAD 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 />