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NOTE: PULL ALL PE ��"TS (SEPTIC, WELL, ETC...) IVAKE COPIES FOR FILE <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: <br /> o COMPLETE & SUBMIT BY e>y�//9/Q_3 <br /> D E w DATE <br /> ATTN: YCi —�r�.1C�/�"I <br /> SITE ADDRESS: oa oZ '� Kzg.� ::21,aa�ft <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 /> I recommend: Approval Denial Continuance Inspector's Si <br /> �cdeicici�:c-Jr�cdckaE�F9t�'tKa'ek�e9e�eJr�k*�r�ck�Evkdc$c*xx�'r �c�c9raFicic�Edc$cdr�c�tx�+e4ede�'e�e�ekeex�cir �cir�ciric9ccdt$exx' deX�ririck�c$edt9rx�exxxk <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA Corleel.L4NDUSE#9 <br /> EH 06 06 Rev 1199 � ;P <br /> �°�Gorreet CONDI TI'DN(S) Lagged in LAND (SSL BOOK? � <br /> _ <br />