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V, <br /> NOTE: PULL ALL PERNTrfS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT `/ APP# Pty -0 a -tel CCS (S/4 L <br /> END RECEIVED APP.REFERRAL: ID -'7 `01 COMPLETE & SUBMIT BY / Q - 9- <br /> DATE DATE <br /> ATTN: - L r, <br /> SITE ADDRESS: 14,N4 , KV f7 <br /> In completing the Land Use investigation, draw all Public 4fealth 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: I I 11�1? Public sewage: <br /> SUMMARY OR COMMENTS: <br /> T <br /> I recommend: Approval Denial Continuance Inspector's i <br /> Supervisor/Lead Senior Comments: <br /> OL00 <br /> (ren <br /> 1111. CIhv2+a <br /> ..,d 0 <br /> J.1A 11 <br /> .Mr � whYFt - <br /> SUPER SOWLEAD 4ENIOR APPRbVAL: <br /> OA H CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1199 Correct CONDITION(S)? Logged is LAND USE BOOK? <br />