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NOTE: PULL ALL PERM"EPTIC, WELL, ETC...) Nt-deL COPIES FOR FILE <br /> LAND USE REPORT 41 <br /> APP# <br /> EHD RECEIVED APP.REFERRAL: lohgloa COMPLETE & SUBMIT BY s. <br /> DATE <br /> DAT <br /> ATTN: <br /> SITE ADDRESS: Jr y o ej= D, <br /> n <br /> In completing the Land Use investigation, draw all Public Health factors on the exhlbrt (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 Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> 905�.x <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA I/CHECK OFF LIST. _proofread report? _Correct L4ND USE#? <br /> Correct CONDITION(.S)? _Logged in LAND USE BOOR? <br /> F.1106 06 Rev I/99 <br />