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!` NOTE; PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> b <br /> k. <br /> LAND USE REPORT APP# <br /> X. <br /> 1 /� <br /> EHD RECEIVED APP.REFERRAL: "�1` Q COMPLETE & SUBMIT.BY AS 410 <br /> DATE DATE-- <br /> ATTN: <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, loca ' (house, wind direction, etc.._. <br /> r <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> r <br /> I recommend:. Approval—V Denial Continuance Inspector's Signatu <br /> Supervisor/Lead Senior Comments: <br /> G <br /> SUPERVISOR/LEAD SENIOR APPROVAL: _ <br /> '`O�LT ChTCI f]FF'LIST �3Proofreartreport� � Garrett f.911�D SSE# <br /> EH 05 os Rev 1199CDrreci CONDITiT011r{S}?� Logged fn LAND [T�SEBC701? <br /> �M.. ..�e"�;: �§cE:,�{�,.ap'�'..���„a{ 3Z— <br />