Laserfiche WebLink
NOTE: PULL ALL PES S (SEPTIC, WELL, ETC...} A EKE COPIES FOR FILE <br /> LAND USE REPORT APP# ✓K2 al" -2 <br /> EHD RECEIVED APP.REFERRAL: T COMPLETE & SUBMIT BY glla`O / <br /> 5-ATE DATE <br /> ATTN: _ Aerro l a lli'va r- <br /> SITE ADDRESS: S-000 LS { Air/0J7/ -- c i-/V A, <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 Signature <br /> Supervisor/Lead S for Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> IV <br /> OA�II CHE�H`OFA LISW ���� Proo read re nrt? �� �:��Correct LAND USE#9 ``�� <br /> EH 06 06 Rev 1199 Correct C'ONDITIOiV(S)?s < Lagged in LAND USE BOQX? `. <br /> „less;�^t�st �'�;�,,�sa �'�i��'sf't.. .<v� '� a�,.'�=�`+� x-[?-. - - Rv„ ^•,� >r �;..ate,<neF m <br />