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f <br /> J# <br /> NOTE:T PULL ALL PERI fS (SEPTIC, WELL, ETC... �T <br /> } t4KE COPIES FOR FILE <br /> LAND USE REPORT APP# - 0,3 <br /> EIiD RECEIVED APP.REFERRAL-. <br /> VA4/-0COMPLETE & SUBMITBYD ,3 <br /> ATTN: J01 DATE <br /> SITE ADDRESS: 3 ( 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: PubIic sewage:g /11,4 <br /> SUMMARY OR COMMENTS: ' <br /> dG ` �I <br /> I recommend: Approval Denial ContinuanceSg1;0 .02 <br /> ��t�9c*�e3c�'r�irati�ck�r�'ex9c��FtF�F�ka��kirir�e�kk�ek�irdcxir�rtkdcde��e�cicic�e�'t�kk�ir�c*:f�F�k:Eiir9;xnsp�fe�e�rOde* ��atll�e ick*9e�c�Fx�Fa'c9r9c9r��te�c <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> DA II CHECK UFFLIST Proafrcad repare `� Correci,L.4ND„DISE#? <br /> En 06 06 Rei 1/99 <br />