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NOTE: PULL ALL PERCTS (SEPTIC, WELL, ETC...) NKE COPIES FOR FILE <br /> LAND USE REPORT APP# , — MZ fY <br /> EHD RECEIVED APP.REFERRAL:31AEJB COMPLETE & SUBMIT BYE r �,PVB� 313f10 P - <br /> DYTI DATE <br /> ATTN: / �! <br /> SITE ADDRESS: off-- (/ 6 Ludt' <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� <br /> it <br /> I recommend: Approval Denial Continuance Inspector's ur <br /> �F9ttFX�'c�k3e�e�'c�c�eJc�e�i�cicia�c*icnFk�c9tx�'c$t�t�*�kxir�civic�c�ic�kic�c$t>cicXie�ek�cak�'e�ceF�kxie�k�c9ciadcicic$cdc�F�t$eJe�Jc�F irac�'r�caE�cx xxir�F�kk�k� <br /> Supervisor/Lead Senior Comments: <br /> 11 <br /> 4 <br /> i' <br /> k <br /> SUPERVISORILEAD SENIOR APPROVAL- <br /> ID CHEGKDFFLIST: .a . 'Correct LAND'USE#9q <br /> Proofread report? <br /> EH 06 06 Rev IJ99 3 <br /> �� .Corrert G©NDIT101V{S)�Y - Lagged�n LAND'ifSE BORIC?t ' <br />