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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# — <br /> i <br /> EHD RECEIVED APP.REFERRAL: ,,5 cR r V 0 COMPLETE & SUBMIT BY '1 -0 C� <br /> DATE <br /> DATE <br /> ATTN: <br /> SITE ADDRESS: <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 /> G= y <br /> Dz -O <br /> 102 - e) <br /> I recommend: Approval Denial Continuance Inspector's Signatur <br /> Supervisor/Lead Senior Comments: <br /> r . , <br /> �r <br /> SUPERVISORILEAD SENIOR APPROVAL: 4 <br /> ;4A II CHEMIC UFF LIST ��`Praafrearl repo ? 'Corre_ct LAID ttSE#9 <br /> EH 06 06 Rev 1199 ' 4� �€Correct CONDITIOIV�S)9 � Logged h`1'-SND USE B04$? ` . <br /> k. ,. `^rY'" ..y.;avr�Ja`,isY "'€.a.'m"a. r66ie°} ,c°. e;x...: „.a"5e^.cani3 srs.,Sti. s"`°si?. .•sva..i ',H,_`'Rf <br /> r_;r <br /> k <br />