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2�`5 <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MIME COPIES FOR FILA <br /> LAND USE REPORTAPP#Eli - oa -sob is /) <br /> EHD RECEIVED APP.REFERRAL: 96 3 . COMPLETE & SUBMIT BY--� <br /> DAT D41t <br /> ATTN: <br /> SITE ADDRESS: 1 U <br /> In completing the Land Use investigation, draw all Public calth 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 /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST: _proofread report? Correct LAND USE#? <br /> Correct CONDITION(S)? _ Logged in LAND USE BOOK? <br /> I'I-I 06 06 Rey I/99 <br />