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CTE: PULL ALL PERMS (SEPTIC, WELL, ETC...) 1�'�'KE COPIES FOR FILE <br /> LAND USE REPORT APP# -U <br /> 7 '1 RAY ON VACATION <br /> EI)D RECEIVED APP.M1 FERRAL: 1J—02 COMPLETE & SUBMIT BY � o7/ Oa 711102—715102 <br /> DATE - DATE <br /> ATTN: j n <br /> SITE ADDRESS: A/ OZZ611,11 a r rig1). <br /> Sq��•+/ <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 />.I <br />�i <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> :k�rx�epe�eY:cde�cdr9earxis:k:F:kk3e�cxx�eae�sat9r�t9e$c:F:caF:F:cde��'eic:F:cdr$c9e�edrdek�r�9etFie3e:k�c:'e�r�¢9r:eirxxirieiefeir�c:Irx�e�ekxfrx:�eieaF�cx�ek�e$eiex <br /> Supervisor/Lead Senior Comments: <br /> AL <br /> 03 <br /> :o U <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> DA -CHECK OFF LISTt � `E Praofreaal report?, Correct LANDUSE#9 <br /> EH 06 06 Rev 1199Cor'reetaCONDITION(S) Logged rn LAND USE BQQK' <br /> .�•. i, _s..�_�_.s�� c:�r�...»i<-"»� .:..:�,g 'a"°.uE::t,�. --c.am:,.,Abe-.�.. .�:.r� -' '- � <br />