Laserfiche WebLink
r , <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) M KE COPIES FOR FILE <br /> w LAND USE REPORT APP# <br /> EFID RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY---E! q 03 <br /> — <br /> DA DATE <br /> 4z <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 COMMENTS: <br /> Y <br /> I recommend: Approval Denial Continuance Inspector's S ure <br /> it ickir i±'n iek kir irkkk9ekkkk�ckks':kkk�kkk7&kir it is ie is it 9ekkic iekie kkkkkkvkkxkkkiekkkxkkkc kiekie it ickic ie'it lex*k' ec itkirk <br /> Supervisor/Lead Senior Comments: <br /> R — <br /> E ! r • <br />� I <br /> N <br /> N <br /> SUPERVISORILEAD SENIOR APPROVAL: Y. <br /> � IN <br /> Ofi'II CHECIt UFF LIST v Proofread reports ' Correet LAND USE4, <br /> Co <br /> EM 06 06 Rev Ir99 <br /> `a - rrect CONDITIONS) i ged in LAND'IISE B44K <br />