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NOTE: PULL ALL PERF, S (SEPTIC, WELL, ETC... i„, FO FILE <br /> S KE COPIES <br /> LAND USE REPORT APP# <br /> EIID RECEIVED APP.REFERRAL: 3”" -g- COMPLETE & SUBMIT BY <br /> DATE <br /> DATE <br /> ATTN: J p '� <br /> SITE ADDRESS: ) <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 COMMlENTS: <br /> a <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> $e�c dcx�F��'c k�ck$vE is 9r�'e�kis k�e�C�*ir$ek�**9r�'cx�'c do isx�F�F aE:Ex��:9c-Je$c�c�e 9e**�F*7��c�Fx$�c�c�c�ex�c do 3c 9t 9e k4e�c.'r it nFx�c kic eF�e 9t oc ie�e ak 9e�E nE*dr <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> ClA II CNEGK OFFLIST Propfread report?;:, Correct LAND USE#9 <br /> EH 06 06 Rev 1/94 a COPtL'et C4lDITIDhx S <br /> iy sv O fi Logged in LAND USE BD4K? <br />