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NOTE: PULL ALL PERIOS (SEPTIC, WELL, ETC...) i EKE COPIES FOR FILE <br /> LAND USE REPORT APP# PA- 0c; <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY / V-15 <br /> DATE DATE <br /> ATTN: <br /> SITE ADDRESS: 2b6 (� L <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: <br /> Z� 0� <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> *a'eirocic�e�c�c�ex�"e�k�'cxa'e*�rxx�cxx�'c�k�c�e�e�ciedc3c�c�Yde�r�e�e��e�r9eae�+e*�e9e�'e�eden'ede9e*�e9c9e9e9e9e9eie4c9e�F9c*�c�Fie�cde�cde�49e9eixoi�k�'e�4�e�e�'ea'cx��'e�e <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD 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 />