Laserfiche WebLink
.�;7AOTF:,PULL ALL PERM--.S (SEPTIC, WELL, ETC...) N�-KE COPIES FOR FILE <br /> ' <br /> LAND USE REPORT APPS �u -0 -_1__P�. �s _T ►. 'uer <br /> EHD RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY `�j — �, --Of <br /> DATE DATE <br /> ATTN: U 1('61 n <br /> SITE ADDRESS: _(��"��� —R r - PeA . A Ce"!L%- you <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: 415 - _ "�Public sewage: Le� , <br /> SUMMARY W COMMENTS: <br /> r <br /> or <br /> I �- <br /> r <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> 1 4 <br /> .r 1 t rl <br /> C/ <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> SOA II CHE`LIC OFF LIST. e�Froofreaif report? Co��BCt LA O rJSE#7 ' <br /> EH ob ob Rev 1/99 cdirect CONDITIONS)-� Logged in LtiNA USE BOOX7 <br />