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NOTE: PULL ALL PERA,`,,,3 (SEPTIC, WELL, ETC...) ?_ KE COPIES FOR FILE � <br /> LAND USE REPORTp APP# S,9 -D/ -(vel <br /> EFID RECEIVED APP.REFERRAL: ! D/ COMPLETE & SUBMIT BY 9�//J'r��/D/ <br /> DATE DA E <br /> ATTN: (''"tx//er- klar t n <br /> SITE ADDRESS: „2 �7S-a/ S- -72-acu <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 recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> oto - <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST. _Proofread report? _Correct LAND USE#? <br /> EH 06 06 acv 1/99 Correct CONDITION(S)? _Logged in LAND USE BOOK? <br />