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NOTE: PULL ALL PERMI4S ( L TC...) MSE COPIES FOR FILE <br /> LAND USE REPORT APP# &-Ca0q Lt9-O0-111 <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY <br /> DATE DATE <br /> ATTN: k4 QDn2Q J <br /> SITE ADDRESS: l l_q(O /J � Pe 2 -2- ,' 1n�Gt ) •\-5 flock 4v-\- <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 /> 0 <br /> 07 2.' 6 <br /> / <br /> 4'(3 <br /> I recommend: Approval k000'Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> a�. <br /> r v 00 - O <br /> /r n <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST. Proofread report? Cot. <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? - Logged In LA. <br />