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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# -o <br /> ��-/99 a <br /> EHD RECEIVED APP.REFERRAL: q—.29-99' COMPLETE & SUBMIT BY /'7�•S 4 <br /> DATE DATE <br /> ATTN: Cid I er " +fit L)'n <br /> SITE ADDRESS: 255 33 S <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i. .: 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 /> /d t� <br /> IU:oy <br /> ZD:D � <br /> 149 ffLI lW <br /> 102=01 <br /> /U2;oL <br /> /. Io2:o3 <br /> Boz;oy <br /> x 09- <br /> 0 2 ,e.-,(. <br /> f02'e.-,(. <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> log, <br /> 1,riti - in 7 <br /> o - <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFFLIST.• _Proofread report? L,�Correct L4ND USE#? <br /> EH 06 06 Rev 1/99 LI6rrect CONDITION(S)? LL Logged in LAND USE BOOK? <br />