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67 <br /> NOTA: PULL ALL PE 'S (SEPTIC, WELL, ETC...) T"E COPIES FOR FILE <br /> LAND USE REPORT APP#— &10 <br /> ERD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY ��� X/ 3 <br /> DAT DAT <br /> ATTN: �o i La-- -- - <br /> SITE ADDRESS: 9�S ��� ' Yec .. 0 C <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 /> Y: �9 <br /> I recommend: Approval Denial Continuant Inspector's Signatu ri <br /> �+c�'ca�cacscxdrdr�ckvF!ca�r�ex�e.vedr�'c�cdcdt>rieirxic-Jr�caFiax$eJr�'ric�c$c�ededric�caF�k�r�eak�c k�cvc*$r9:�e��ricicic$c�$ek�c�cicicdc$ric�k iri�dcitx�'citicvFdtieieicir3r <br /> Supervisor/Lead Senior Comments: <br /> C. r ` 0 9 <br /> r Q , ,+ <br /> �2�01 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: I <br /> 04 if <br /> ckeC,C OFF LIST Proofread report ; Garrecf LAN=USE <br /> Eorreet'CONDITION(S}7rnLAND <br /> EH 06 06 Rev 1/99 <br />