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NOTE: PULL ALL PERn, . S (SEPTIC, WELL, ETC...) KE COPI S FOR_FI_LE <br /> SV-b1-53 <br /> LAND USE REPORT AP 5312 E. QUASHNICK RD., STKN <br /> EHD RECEIVED APP.REFERRAL: _1 3— COMPLETE & SUBMIT BY — 7—O <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 necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... y <br /> Public water: Public sewage: , <br /> SUMMARY OR OMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA 11 CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> 1:1106 06 Rev 1/99 Correct CONDITION(S)? Logged In LAND USE BOOK? <br />