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NOTE: PULL ALL PERI�iITS {SEPTIC, WELL, ETC...} N KE COPIES FOR FILE <br /> Y <br /> LAND USE REPORT APP# O`3 � <br /> E}iD RECEIVED APP.REFERRAL: <br /> 14 - /–CCOMPLETE & SUBMIT BY' �5Ae — <br /> DATE DATE <br /> ATTN: i ��C rf 1�✓ ' <br /> SITE ADDRESS: a <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 /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: L\ Q I <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> kdei��E�t�:�k9ck4c�:aF9cia��r$cicdcaF�rx�'c9caFac1c�F�kdcit�eJrirdc�F9e�rirx9t�edc�c*�E4cieieKk�$c3ekaF�c*$t*�c3sicx4cJcvk�rdc�k�eiric�c9c.evk9c�t$c�kdr�9e�rie��cK� <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK'OFF LIST: Psoofrea�i report� = ':correct LANI37USEEH 06 06 Rev 1/99 <br /> correct Lagged inLAND USEZ <br />