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may.• t . <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> . <br /> LAND USE REPORT APP# "�3 4 y`1 °�� <br /> p� D COMPLETE & SUBMIT B . 9 D D3 <br /> EHD RECEIVED APP.REFERRAL: DATE <br /> DATE <br /> lel <br /> ATTN: l L <br /> SITE ADDRESS: S 7 <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 /> I recommend: Approval �enial Continuance Inspector tgnatu <br /> *$c**o'r' <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> r <br /> QA TI CHECK OFFLIST:�7 .v Proofread report?u <br /> Correct LAND USE# <br /> .,, Correct CONDITIDN{,S) *Logged in;LAND,USE BOOK? <br /> E1106 06 Rev 1199 <br />