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.A <br /> 'NOTE: PULL ALL PERM. .. S (SEPTIC, WELL, ETC...) i.-XE COPIES FOR FILE <br /> ,AND USE REPORT APP# S y - <br /> EHD RECEIVED APP.REFERRAL: — 3 0 COMPLETE & SUBMIT BY 5 - ,� 0/ <br /> DATE DATE <br /> ATTN: <br /> SITE ADDRESS: ' <br /> In completing the Land Use investigation, draw all Public Healt 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 Signature.,., <br /> �c�c�tx�c�rF�c�e9c�r�itc�cic*�e9c�e�e9r�c�c*�coYF�cieF�c�c�c�r�c'e�rF�c'c9cicIc9cie9t*x$rata'c�c�c'cIrir9r�c�e�cF'e�e�c�c�c�rx�c9e9c�c�c ie ir9e'e�cx'ex�e' vkde�i�c <br /> Supervisor/Lead Senior Comments: <br /> 66 <br /> C <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged In LAND USE BOOK? <br />