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NOTE: PULL ALL PERNhq'S (SEPTIC, WELL, ETC...) 1.._,&E COPIES FOR FILE <br /> LA-0 1-2x <br /> LAND USE REPORT APP# <br /> EIID RECEIVED APP.REFERRAL: —(J / COMPLETE & SUBMIT BY10 <br /> \ /� D Q V /I6 <br /> DATa- ---- --- E <br /> ATTN: . JOSE RUBIANES 9409 E.SCHMIEDT RD. <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.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> ' r ,� <br /> )6-12 G l ,��' i go v li e ., _l- ten., ` �.-� E <br /> 00, <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> zz <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged its LAND USE BOOK? <br />