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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC—) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP9 <br /> L Aq g <br /> EHD RECEIVED APP.REFERRAL-. I� "meq� COMPLETE & SUBMIT BY —f C-I-W—P fY18 C� <br /> DATE DATE <br /> ATTN: i !� - - Q,k ir m to,h kzL <br /> SITE ADDRESS: _ l 1 a 3, I J � �� .�„�, ��� , , rr�o��c(� ►�� <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, Iocation of house, wind direction, etc.... <br /> Public water: Public sewage: ` e!5 _ <br /> SUMMARY OR COMMENTS: <br /> F <br /> F <br /> I recommend: Approval Denial Continuance Inspector's Signatur <br /> �rirF.4*xirittie******sir******�eak�eIrdedeY*ie**:kalr�rxlri4�r:fr4ea{r**e2**4r**ie�rie:Icic*�c�e9e dr�c*�ciF***�c***k:k***vc********ia** <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST. Proofread repo Correct LAND USE <br /> ex 06 06 tte„ I149 Correct CONDITION(S) Log in°LAND USE BOOK' <br />