Laserfiche WebLink
' Oil: PULL ALL PERMS (SEPTIC, WELL, ETC...) r' KE COPIES FOR FILE <br /> LAND•USE REPORT APP# <br /> Exn RECEIVED APP.REFERRAL: v �2 COMPLETE & SUBMIT BY 7 02, <br /> DATE <br /> DATE <br /> ATTN;� � - <br /> SITE ADDRESS: , <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 I"OMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> �rde�4efcdc�F$e$rie�de�E�F:E$ctkiedek�r�'cx�c�'cis�Fvc�F*�F�ck�cx�e4cJc�eek�khoF-Jexxx�ckdc�i:F�k�Fak$rx�F9e�e�Eiaicir�F�k�F�kie�ek�e�kxxxxis4s�c�cxxzc$s9cirirdcirir <br /> Supervisor/Lead Senior Comments: <br /> I <br /> i <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA II CHECK DFF LlISTPtoo read repott? Correct LAND <br /> USE#9 <br /> EH ub ob Rei v99 � C"oirect CODITI0IY(S)q '� Logged in SND USEBOOX� � <br />