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NOTE: PULL ALL PE S (SEPTIC, WELL, ETC...) 11' KE COPIES FOR FILE <br /> LAND_ USE REPORT APP# �I� 3` 13 :3 6/9 <br /> EHE RECEIVED APP.REFERRAL: Vg&!> COMPLETE &-SUBMIT BYA(.;Ap-f-;Yv � <br /> DAJE `' %WjyATt <br /> e <br /> ATTN: P Ong <br /> SITE ADDRESS: 7 <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 Signatur <br /> ******�47F�e�'c�e�eek�e$ek�e�'eze**�ciF**dt9c*�:kiek�c�c*ic****ictr**a4x**ac�eie�i*****ic****FE�r9rxieieic*iaicas4c cvE*dcxxx�ek�cic�c*ic* <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LEFT Proofread report? Correa LAND t1SE# <br /> EH o6 06 Rev t199 Correct CONDITIOIY(S) :1 Cogged rn LAND USE BOOKS "3 <br /> I <br />