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;NOTE: PULL ALL PERTS (SEPTIC, WELL, ETC...) AKE COPIES FOR FILE <br /> �f <br /> LAND USE REPORT APP# <br /> G <br /> COMPLETE & SUBMIT BY 1 -3 S <br /> EHD RECEIVER APP.REFEILRAL:DATE 3 ATE <br /> ATTN: <br /> SITE ADDRESS: <br /> In completing the Land Use investigation,�� w allan att ched pieceublic lth of plainrs on paperhdraw completed map of area <br /> e exhibit (i.e.: sewage al, <br /> water supplies, etc...). Where necessary, <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead S nior Comments: <br /> U p. <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> I"EEOA, CH, CK.`pFF LIST Proofread report? a Correct LAND USE#? <br /> �� Correct CONDITION(SJ _ Lagged in LA !D <br /> Eli 06 06 liev 1199 : <br />