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PERMIT SEPTIC WELL ETC... M COPIES FOR FILE <br /> NOTE: PULL ALL PE ( , ) <br /> LAND USE REPORT APP# S 9 <br /> EIID RECEIVED APP.REFERRAL: / Q`3t COMPLETE & SUBMIT BY <br /> DATE - DATE <br /> ATTN: � Y� 0(e, <br /> - <br /> SITE ADDRESS: s � ",- <br /> 0 <br /> In completing the Land Use investigation, draw all Public Health factors on the e ibit (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 /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> F <br /> DA II CHEGI�OFF DIST `° Proofread repat�?��' "�Gorrecf L.9ND USE#9 �� <br /> EH 06 06 Rev 1199 � 'a, � k f �� � 4rrercf GD�l�Dl T41V(SJ? a 'f� Lagger�rn T IND USE 844TC� <br />