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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APPA <br /> -EHD REC C Y <br /> DATE 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 nPrPccary on an attached niece of nlain saner, draw completed map of area <br /> showing population density, I <br /> Public water: <br /> SUMMARY OR COMME` <br /> I recommend: Approval_} S/ 'HOZ- �� d �� . ire <br /> xxxx�c icx is "c is�c icxxiirx*ir ie is>c ici � xi *ic*� c is icx is is is F is is:cx <br /> Supervisor/Lead Senior Col lie <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST.• Proofread report? Correct L4ND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />