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�. <br /> NOTk: PULL ,ALL PER!, S (SEPTIC, WELL, ETC...) KE COPIES FOR FILE 6 <br /> LAND USE REPORT APP# t- I '- q l <br /> rj QV� c,� f7 <br /> EHD RECEIVED APP.REFERRAL: f -J-"1 i`Q I COMPLETE & SUBMIT BY <br /> DATE <br /> p DATE <br /> ATTN: -� Pv 611 l[ 2 <br /> SITE ADDRESS: . } 122 r•�,,--- --.— <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 /> A, <br /> RIO <br /> d <br /> I recommend: Approval Denial Continuance Inspector's Signatur-- <br /> Supervisor/Lead Senior Comments: <br /> 73 � <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> LIN! <br /> L <br /> ofread report? sCorrect LAND USE#Eli 06 06 Rev 1199 � �'or ect GONDITI011r S ? x ��o ed m.LAND USE BODK? �, <br />