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NOTE: 'PULL ALL PERMITS(SEPTIC, WELL, ETC...) <br /> �E COPIES FOR FILE <br /> D USE REPOS -oo <br /> LA.lo1 RT APP# <br /> EHD RECEIVED APP.REFERRAL: !G�I O Q <br /> -0 COMPLETE & SUBMIT BY / ATE <br /> DATE ` <br /> ATTN: J <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit <br /> (i.e.: <br /> sewage map d spo <br /> ea al, <br /> wcompleted <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, <br /> showing population density, location of house, wind direction,etc.... <br /> Public water: 6n-e' Public sewage: <br /> SUMMARY OR COMMENTS: <br /> H '.oz <br /> 06 L44 <br /> ol <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> 0 <br /> Rqk <br /> kipw <br /> JAAOL <br /> �Q V 1 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OAII CHECK OFF LIST Proofread report? CorrectLAND USE#? <br /> Logged in LAID USE BOOK? <br /> EH 06 06 Rev 1194 Correct CONDITION(S)?: , gg <br />