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�- <br /> ME <br /> NOTE: PULL ALL PERNtrfS (SEPTIC, WELL, ETC...) NTAKE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-121 (SA) PRE-APP <br /> EHD REUMD APP.REFERRAL: 3/23/04 COMPLETE & SUBMIT BY: 03-30-04 <br /> DATE DATE <br /> ATTN: LEANNE MUELLER <br /> SITE ADDRESS: 5024 NORTH MARKET STREET, LINDEN <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 a 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 V'� Denial Continuance Inspector's Signatu <br /> Supervisor/Lead Senior Comments: <br /> CD <br /> A-- / 0 <br /> R ao :os <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> EH 0606 Rev 1/99 - OA 11 CIIF,CK OFF LIST: Proofread report? _ Correct LAND USE#? <br /> __ Correct CONDITION(S)? Logged in LAND USE BOOK? <br />