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L6 <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...} NrA`KE COPIES FOR FILE I <br /> I� <br /> I; <br /> LAND USE REPORT APP# P Lo <br /> EHD RECEIVED ATI'.REFERRAL: G COMPLETE & SUBMIT BY_A S 9--ff <br /> D E DATE <br /> ATTN: i <br /> SITE ADDRESS: <br /> i, <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, h <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: i <br /> Az- <br /> IIS <br /> ik <br /> Il <br /> } <br /> l <br /> } <br /> 1 <br /> I recommend: Approval Denial Continuance Inspector's <br /> ilex$e it do is 4e tk�r F�r$r 9c�c�c�c ie�e kF��r aY do�r�c is�rx�r�r 4c yr ie ie$dr E�r�c�c�c 3s ve�r�c do�c�c&9e�e k�F vF it 4c Ic�e is do is�t 9e�e �r ac�c���e*�c 4s do iex9e$9cxdc dt�x <br /> I� <br /> supervisor/Lead Senior Comments: <br /> II <br /> i <br /> I' <br /> li <br /> I� <br /> ry <br /> IL <br /> i <br /> III <br /> li <br /> I� <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> f <br /> Ali <br /> „OA II CHECK OFF LIST P'roafread report? Correci LAND.USE <br /> Correct CONDITIOII'(S)7 Logged in LAND <br /> e USE BDOI7 <br /> Eik06 06 Ruv 1199 r <br /> f� <br />