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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# J-6 —oo--e,�V <br /> 45 <br /> q' <br /> EHD RECEIVED APP.REFERRAL: =tet 00 COMPLETE & SUBMIT BY S/\ !- <br /> q <br /> DATE <br /> // DATE <br /> TTN: 7 3 �GF S !ti �/ C l��_�c•..0 � � <br /> SITE ADDRES l J Q <br /> In completing the Land Use investigation, draw all Pu is 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 /> l <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> f <br /> 1 <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> Qf1 FI GHECR tTF LISA ¢ P'roa rend ie i'art? ' a` Gorrect L ANI?'[ISE#9' : <br /> Eli 06 06 Rev 1199 <br /> `� Y � G"orrect CQIVDIZIQ S)9Logged fn LAND IISE BOQ�7 <br /> 77777", �`''�9.:.3^,Y,"°'`✓$ P: ? .;sa <.`¢€t..a,.asa, air._.s`skc¢.r'.:z v?'{�?-a' T�{,tt au't 3*;>+ '''.,.r„' <br />